НОВАЯ ШОВНАЯ НИТЬ ДЛЯ ПОДТЯЖКИ ЛИЦА И ТЕЛА

Изобретение относится к медицинской технике, а именно к шовной нити, в частности к шовной нити для подтяжки лица и тела. Шовная нить для подтяжки лица и тела выполнена из полимера или золота с парными выступами или элементами выступов, образованных на внешней периферической поверхности основного тяжа шовной нити как единое целое с нитью, в которой выступ имеет стереоструктуру в форме конуса, многоугольного конуса, усеченного конуса, модифицированного многоугольного конуса, усеченного многоугольного конуса, модифицированного усеченного многоугольного конуса, цилиндра, модифицированного цилиндра, многоугольного цилиндра, или модифицированного многоугольного цилиндра, которая сформирована с образованием радиальной симметричной структуры вокруг основного тяжа шовной нити или имеет форму воронки, в которой часть или все пространство, за исключением внешней периферийной поверхности стереоструктуры и основной части тяжа шовной нити стереоструктуры, присутствующее внутри, является полым, а парные ...

ШОВНАЯ НИТЬ

Изобретение относится к медицине. Шовная нить имеет поддерживающий корпус шовной нити и корпус для размещения иглы. Поддерживающий корпус шовной нити защищает конец шовной нити от втягивания в область сшивания. Корпус для размещения иглы имеет форму трубки со сквозным отверстием, которое проходит через оба конца. Шовную нить используют для осуществления сшивания без завязывания части или всех узлов, которые должны завязываться во время сшивания. 10 н. и 16 з.п. ф-лы, 9 ил.

САМОФИКСИРУЮЩИЕСЯ ШОВНЫЕ НИТИ, ОБЛАДАЮЩИЕ КОНТУРНЫМИ МИКРОШИПАМИ, ОБЕСПЕЧИВАЮЩИМИ ПРОХОД СКВОЗЬ ТКАНЬ, И УВЕЛИЧИВАЮЩИЕ ПРОЧНОСТЬ ФИКСАЦИИ

Изобретение относится к медицинской технике. Устройство для ушивания раны включает нитевидный элемент, имеющий проксимальный конец, дистальный конец и множество микрошипов, выступающих наружу от нитевидного элемента. У каждого микрошипа есть основание, соединенное с нитевидным элементом, наконечник, удаленный от основания, и внешний край, расположенный между основанием и наконечником. Внешний край включает первую часть, имеющую вогнутую поверхность, которая расположена между основанием и точкой перехода микрошипа, и вторую часть, имеющую выпуклую поверхность, которая расположена между точкой перехода микрошипа и наконечником микрошипа. На внешнем крае вогнутая поверхность первой части переходит в выпуклую кривую второй части в точке перехода микрошипа. Наконечник микрошипа имеет выпукло-изогнутую поверхность, обращенную к дистальному концу нитевидного элемента. Форма внешнего края микрошипов с двумя радиусами сводит к минимуму сопротивление при протягивании нитевидного элемента в первом ...

СПОСОБ НАЛОЖЕНИЯ ШВОВ

Изобретение относится к медицине, хирургии, может быть использовано при выполнении косметических операций. Используют шовную нить с заусенцами. Шовная нить содержит удлиненное тело, заостренные дистальные концы для проникновения в ткань и множество заусенцев. Заусенцы на первой части тела нити между первым концом и первым положением вдоль тела нити обеспечивают возможность движения нити относительно ткани в направлении движения первого конца и предотвращают возможность движения шовной нити в направлении, противоположном движению первого конца. Заусенцы на второй части тела нити между вторым концом шовной нити и вторым положением вдоль тела нити обеспечивают движение в направлении движения второго конца и предотвращают движение в направлении, противоположном движению второго конца. Проталкивание первого конца нити через ткань осуществляют, пока первый конец не выступит в точке выхода. Вытягивают первый конец нити до тех пор, пока второе положение вдоль тела нити не будет вблизи точки введения ...

НИТЬ ДЛЯ ЛИФТИНГА ТЯЖЁЛЫХ ТКАНЕЙ

Изобретение относится к медицинской технике, а именно к нити для лифтинга тяжёлых тканей, выполненной асимметричной и содержащей опорную часть в виде нити, на которой расположены захватная и удерживающая части. Захватная часть содержит цилиндрические зацепы. Удерживающая часть содержит z-образные зацепы. Цилиндрический зацеп имеет форму усечённого конуса с одного края, ориентированного к ближнему относительно захватной части краю нити, и содержит пару крючков с другого своего края. Техническим результатом является максимальный лифтинг кожи и долгосрочная надежная фиксация мягких тканей, позволяющая использовать нить преимущественно для мужских лиц, исходя из особенностей строения, и тяжелых тканей женских лиц. 6 з.п. ф-лы, 1 ил.

ШОВНАЯ НИТЬ И СПОСОБ ЕЕ ИЗГОТОВЛЕНИЯ

Настоящее изобретение относится к шовной нити и способу ее изготовления, причем способ включает: первый этап, на котором выполняют нагрев полуфабриката шовной нити в заданном температурном диапазоне; второй этап, на котором выполняют обжатие полуфабриката шовной нити, нагретого на первом этапе, для проведения прямого прессования; третий этап, на котором выполняют формирование линейных надрезов на первой кромке и второй кромке прессованного шовного материала, полученного на втором этапе, с последующим формированием зубчатого участка путем приложения растягивающего усилия к прессованному шовному материалу, имеющему линейные надрезы, причем линейные надрезы на первой кромке и второй кромке выполняют непрерывно на заданном расстоянии друг от друга с заданным углом наклона в одном направлении или в разных направлениях. Таким образом, получена шовная нить, которая превосходно способствует регенерации ткани в области шва, превосходно поддерживает квазинепрерывный эффект лифтинга, а также обладает ...

НИТЬ ДЛЯ ЗАКРЫВАНИЯ РАНЫ, СБЛИЖЕНИЯ ТКАНИ, ОПОРЫ, ПОДВЕСКИ И/ИЛИ ФИКСАЦИИ ТКАНИ

... 1. Нить, содержащая ! удлиненное гибкое тело, образованное сплетенным или сотканным из многих прядей элементом, имеющим первый и второй концы; ! множество сцепляющихся с тканью элементов, задающих каждый отверстие через него, при этом сцепляющиеся с тканью элементы размещены на удлиненном гибком теле; и множество узелков, завязанных в удлиненном гибком теле, каждый из которых превышает по размеру указанное отверстие, при этом указанные узелки удерживают указанные сцепляющиеся с тканью элементы в последовательном расположении на удлиненном гибком теле. ! 2. Нить по п.1, в которой сцепляющиеся с тканью элементы задают каждый узкий конец и широкий конец. ! 3. Нить по п.2, в которой сцепляющиеся с тканью элементы имеют каждый в основном форму усеченного конуса. ! 4. Нить по п.3, в которой сцепляющиеся с тканью элементы задают каждый открытый конец. ! 5. Нить по п.4, дополнительно содержащая ! изогнутый конец, имеющий сильно заостренный конец и соединительный конец, соединенный с указанным первым ...

САМОУДЕРЖИВАЮЩИЕСЯ НИТИ С РЕГУЛИРУЕМОЙ ПЕТЛЕЙ

... 1. Самоудерживающаяся нить, содержащая:a. первый конец для проникновения в ткань;b. удлиненное тело нити, имеющее периферию;c. первое множество стопоров на периферии удлиненного тела, ориентированных в направлении первого конца, причем первое множество стопоров прилегает к телу нити при перемещении нити через ткань в направлении размещения первого конца и сопротивляется перемещению нити при нахождении в ткани в направлении, по существу, противоположном направлению размещения первого конца;d. второй конец, имеющий регулируемую петлю регулируемой окружности, причем регулируемая петля включает в себя фиксированную петлю, зацепляющую удлиненное тело с возможностью скольжения так, чтобы изменять окружность регулируемой петли с возможностью скольжения, и причем первый конец может проходить через регулируемую петлю для закрепления ткани в качестве фиксатора, причем фиксатор предотвращает перемещение нити в направлении размещения первого конца.2. Нить по п. 1, в которой первый конец прикреплен ...

ШОВНАЯ НИТЬ

... 1. Нить (1) для швов или других приложений для прошивки или наложения стежков, содержащая:- удлиненную основную часть (2); и- ограничитель (3), имеющий сечение, увеличенное по отношению к указанной основной части (2), и расположенный на продольном конце (21) основной части для блокирования указанного конца, примыкающего к тканевому лоскуту,отличающаяся тем, что- ограничитель (3) имеет по существу цилиндрическую форму, с осью (А) цилиндра, расположенной в продольном направлении указанной основной части (2) и имеет толщину (S) вдоль указанной оси (А) в диапазоне примерно 1-2 мм, диаметр (D) примерно 4 мм, при этом указанный ограничитель (3) и указанная основная часть (2) изготовлены из материала, выбранного из группы, включающей: гликолидный полимер (PGA), сополимер гликолида и лактида (PGLA), поли(п-диоксанон) (PDO), сополимер гликолида и эпсилон-капролактона (PGCL), и сополимер поли(L-лактида) и эпсилон-капролактона (P(LA-CL)).2. Нить (1) по п.1, отличающаяся тем, что на указанной основной ...

НИТЬ, ИМЕЮЩАЯ ЗАКРЕПЛЯЮЩИЕ ЭЛЕМЕНТЫ С ПОКРЫТИЕМ ДЛЯ ЗАКРЕПЛЕНИЯ В БИОЛОГИЧЕСКИХ ТКАНЯХ, И СПОСОБ ЕЕ ПОЛУЧЕНИЯ

... 1. Нить (100; 200; 300), в частности типа безузлового или самофиксирующегося шовного материала, содержащая удлиненную основу (110; 210; 310) нити, которая содержит на своей поверхности выступающие закрепляющие элементы (120; 220; 320) для закрепления в биологических тканях, в частности в тканях человека и/или животных, отличающаяся тем, что закрепляющие элементы (120; 220; 320) имеют придающее жесткость покрытие (130; 230; 330).2. Нить (100; 200; 300) по п.1, отличающаяся тем, что придающее жесткость покрытие (130; 230; 330) сформировано только в области закрепляющих элементов (120; 220; 320).3. Нить (100; 200; 300) по п.1, отличающаяся тем, что придающее жесткость покрытие (130; 230; 330) сформировано только на закрепляющих элементах (120; 220; 320).4. Нить (100; 200; 300) по п.1, отличающаяся тем, что придающее жесткость покрытие (130; 230; 330) только частично сформировано на закрепляющих элементах (120; 220; 320).5. Нить (100; 200; 300) по п.1, отличающаяся тем, что придающее жесткость ...

ШОВНЫЕ НИТИ С ЗАЗУБРИНАМИ И СТОПОРАМИ ДЛЯ ТАМПОНОВ И СПОСОБЫ ИХ ПРИМЕНЕНИЯ

... 1. Хирургическая шовная нить, содержащая:удлиненный сердечник, содержащий первое плечо и второе плечо; истопор, выступающий из упомянутого удлиненного сердечника между упомянутыми первым и вторым плечами.2. Хирургическая шовная нить по п.1, дополнительно содержащая:первый набор зазубрин, выступающих из упомянутого первого плеча упомянутого удлиненного сердечника; ивторой набор зазубрин, выступающих из упомянутого второго плеча упомянутого удлиненного сердечника, причем упомянутый стопор выступает из центральной области упомянутого удлиненного сердечника, находящейся между упомянутыми первым и вторым наборами зазубрин.3. Хирургическая шовная нить по п.2, в которой упомянутый первый набор зазубрин выступает в первом направлении, а упомянутый второй набор зазубрин выступает во втором направлении, противоположном первому направлению.4. Хирургическая шовная нить по п.2, в которой упомянутые первый и второй наборы зазубрин являются гибкими, и при этом упомянутый стопор является менее гибким, ...

СЕТКА В СБОРЕ И СПОСОБ ЕЕ ИЗГОТОВЛЕНИЯ

ИНСТРУМЕНТЫ И СПОСОБЫ ДОСТАВКИ НИТИ ДЛЯ ЭНДОСКОПИЧЕСКОЙ И РОБОТИЗИРОВАННОЙ ХИРУРГИИ

... 1. Устройство подачи нити, содержащее:самоудерживающуюся нить, имеющую удлиненное тело нити с первым сегментом, имеющим первое множество фиксаторов, расположенных проксимально по отношению к первому концу, и вторым сегментом, имеющим второе множество фиксаторов, расположенных проксимально по отношению ко второму концу;удлиненный ствол;катушку, соединенную с дистальным концом удлиненного ствола, причем самоудерживающаяся нить закреплена на катушке с возможностью удаления; ипривод, прикрепленный к проксимальному концу удлиненного ствола, посредством которого устройство подачи приводится в движение, обеспечивая введение катушки и дистального конца удлиненного ствола через отверстие доступа к месту операции в организме пациента.2. Устройство подачи по п. 1, где:самоудерживающаяся нить содержит первую иглу на первом конце и вторую иглу на втором конце; икатушка содержит первое гнездо для иглы для первой иглы и второе гнездо для иглы для второй иглы.3. Устройство подачи по п. 1, где:катушка содержит ...

СПОСОБЫ И УСТРОЙСТВА ДЛЯ НАЛОЖЕНИЯ ШВОВ

... 1. Снабженный шипами шовный материал, содержащийудлиненную основную часть,один острый конец,множество шипов, выступающих из периферии основной части, позволяющих шовному материалу продвигаться через ткань в направлении движения острого конца и препятствующих движению шовного материала в направлении, противоположном движению острого конца, иодин конец со стопором, содержащим по меньшей мере одно дугообразное ответвление, простирающееся наружу от периферии основной части в большей степени, чем шипы, и препятствующим движению шовного материала в направлении движения острого конца.2. Снабженный шипами шовный материал по п.1, в котором стопор имеет множество дугообразных ответвлений, расположенных, по существу, на равном расстоянии друг от друга вокруг основной части шовного материала.3. Снабженный шипами шовный материал по п.1, в котором стопор имеет множество дугообразных ответвлений, расположенных, по существу, на различном расстоянии друг от друга вокруг основной части шовного материала.4 ...

СПОСОБ СОЗДАНИЯ ЗАЗУБРИН НА ХИРУРГИЧЕСКОЙ НИТИ И УСТРОЙСТВО ДЛЯ ЕГО ОСУЩЕСТВЛЕНИЯ

... 1. Способ вырезания зазубрин на нити с продольной осью, включающий в себя следующие этапы: обеспечение наличия нити, обеспечение наличия режущего лезвия, создание зазубрины на указанной нити путем смещении лезвия с учетом его режущего воздействия на нить в трех измерениях по осям X-Y-Z нити, обусловленного сочетанием геометрической формы лезвия и его смещения, и использование средства для смещения лезвия, обеспечивающего указанное режущее воздействие для создания зазубрины. 2. Способ по п.1, в котором геометрическая форма лезвия обеспечивает режущее воздействие на нить вдоль двух осей при смещении этого лезвия, обеспечивающем режущее воздействие вдоль оставшейся оси. 3. Способ по п.2, в котором ось Y является продольной осью нити, ось Х перпендикулярна продольной оси, а ось Z расположена под углом 90° к оси X. 4. Способ по п.3, в котором геометрическая форма лезвия обеспечивает режущее воздействие вдоль осей Y и Z при смещении этого лезвия, обеспечивающем режущее воздействие вдоль оси X ...

Vorrichtung zum Wiederherstellen von gerissenem Gewebe.

Maschine und Verfahren zur Herstellung von Nahtmaterial mit Widerhaken

Seam yarn for surgical wound closure, particularly in the area of soft tissue, has one-piece suture body, where cross sectional area of suture body has multiple irregularly shaped radial notches

The seam yarn (10) has a one-piece suture body (14), where the cross sectional area of the suture body has multiple irregularly shaped radial notches (16). The notches extend over a large part of the axial length of the suture body. The notches are arranged and distributed in the circumferential direction. Two or more notches have a direction of extension in different planes. Independent claims are also included for the following: (1) an extrusion die for extruding a seam yarn; and (2) a method for manufacturing a seam yarn for surgical wound closure.

Reinforcing mean for silhouette face lift sutures

Trochlear groove implants and related methods and instruments

Surgical fastener for attaching a hernial prosthesis

Medical device

PROCEDURE FOR THE FORMATION FROM WIDERHAKEN ON A THREAD AND EQUIPMENT TO THE EXECUTION OF THIS PROCEDURE

STENT FOR A BANDSCHEIBENANNULUS

TEXTILE THREAD AND PROCEDURE FOR ITS PRODUCTION

WIDERHAKENKONFIGURATIONEN FOR THREADS WITH WIDERHAKEN

VERSCHLUSSVORRICHTUNG TO THE BACKTACKING MECHANISM

SUTURE AND NEEDLE/SUTURE COMBINATION

DEVICE FOR RESTORING CHORDS AND VOLUMES

SURGICAL THREAD FOR OPERATIONS IN THE PLASTIC SURGERY

Suture for lifting and manufacturing method therefor

A suture for lifting is disclosed. The suture comprises: a medical fiber yarn; fixing parts formed at one side of the fiber yarn and fixable to the skin; and anchor parts protruding on the outer circumference of the fixing parts, wherein the anchor parts are integrally formed with the fiber yarn through a double injection.

Systems, devices, and methods for securing tissue using a suture having one or more protrusions

Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical repair construct includes an anchor, a filament having a snare formed on one end and a collapsible loop on another end, and a suture having a plurality of stationary protrusions formed therein. The suture is configured to be coupled to detached tissue and have its ends passed through an opening in the snare. The snare can be collapsed around the suture such that at least one of the suture protrusions is proximal of the collapsed snare. The anchor can be disposed in bone and the filament coupled thereto. Accordingly, collapsing the snare around the suture couples the tissue to bone, and applying tension to a tensioning limb of the filament can collapse the collapsible loop to incrementally tighten and secure the tissue to bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Apparatus for forming barbs on a suture

An apparatus for cutting barbs into a suture having a filament supply. The apparatus also has an in-feed collet for holding one end of a filament threaded therethrough. Further the apparatus has an out-feed collet for holding a second end of a filament threaded therethrough. Additionally, the apparatus has a holder positioned between said in-feed and out-feed collets for holding a filament suspended between the in-feed and out-feed collets. The apparatus also has a cutting assembly for cutting barbs in the filament tensioned between the in-feed and out-feed collets.

Surgical articles and methods for treating pelvic conditions

Bioactive substance in a barbed suture

BIOACTIVE SUBSTANCE IN A BARBED SUTURE Abstract Barbed surgical sutures (10) are prepared with a bioactive agent thereon. In embodiments, the bioactive agent may be an antimicrobial or clotting agent deposited 5 within the angle formed by the barb (12) and the suture body (14). Placement of the bioactive agent in the angle between the barb (12) and suture body (14) enhances the delivery of the bioactive agent to wound tissue at the point of contact.

Medical closure screen installation systems and methods

BARBED SUTURE IN COMBINATION WITH SURGICAL NEEDLE

Anchoring device

Method and apparatus for the treatment of the intervertebral disc annulus

Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions

High-density self-retaining sutures, manufacturing equipment and methods

A self-retaining suture has a suture thread less than 1 millimeter nominal diameter. A plurality of retainers is cut into the suture thread using a high accuracy retainer cutting machine. The retainer cutting machine has sufficient accuracy and repeatability to cut consistent and effective retainers at high density on suture threads less than 1mm nominal diameter.

Spinal disc annulus reconstruction method and spinal disc annulus stent

Cco, C ?1 There is provided a method of treating a defect in the annulus fibrosus of an intervertebral disc. The method comprises providing a device delivery tool; providing a device, the device having a first anchor and a second anchor, said first and second anchors connected by at least one connecting member; and piercing the intervertebral disc with said device delivery tool at a first location. The first anchor is disposed into intervertebral disc tissue at the first location. The intervertebral disc is pierced with said device delivery tool at a second location at which the second anchor is disposed into intervertebral disc tissue. Tension is applied to one of said at least one said connecting members to foreshorten one of said at least one connecting members between the first and second anchors.

Automated systems and methods for making braided barbed sutures

A system (50) for making braided barbed sutures includes a filament winding assembly, and a guide assembly including at least one barbed insert (100,304) dispenser opening defining a passageway for orienting a barbed insert. The guide assembly is adapted to dispense at least one barbed insert from the dispenser opening into the filament winding assembly for winding a plurality of filaments (284,308) around the at least one barbed insert for making a braided barbed suture. The passage way of the dispenser opening is adapted to allow longitudinal movement of the barbed insert relative to the passageway while simultaneously preventing twisting movement of the barbed insert relative to the passageway. As the barbed insert is being dispensed, the barbed insert dispenser opening is selectively rotatable for imparting rotation to the barbed insert as the filaments are wound about the barbed insert. The passageway may be an elongated slit having a greater width than height.

System for providing surgical access

One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member ( 14 ), a first helical member ( 66 ), an anchor member ( 54 ) removably coupled to the helical member distal end, and a suture member ( 52 ) coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical with between about one and three helical loops.

Surgical suturing device, method and tools used therewith

A suture insertion device is provided for positioning a suture inside a layer of subcutaneous tissue from a remote access point. A tether insertion device is provided for positioning a tether within subcutaneous tissue for operating on the suture from a remote access point. The suture insertion device and the tether insertion device cooperate to form the suture into a tissue-supporting sling useful for performing various surgical procedures, including but not limited to plastic surgery such as mid face lifts, neck lifts, brow lifts, under eye lifts, breast lifts, and organ repositioning.

Deployment system for surgical suture

DEPLOYMENT SYSTEM FOR SURGICAL SUTURE Abstract [00103] A suture deployment system (10) is disclosed including a surgical needle (14) having a flexible suture (16) fixedly attached thereto and a target suture (12) releasably S secured to the flexible suture. Either the flexible suture or the target suture may be made of a shape memory polymer. A collar (18) is positioned between the flexible suture and the target suture and is fixedly secured to the flexible suture. The target suture is releasably secured to the collar is such that the target suture may detach from the collar once a surgical procedure has bee completed. The surgical needle is a double pointed i surgical needle specifically configured to be manipulated by a surgical suturing apparatus. 4 34 30 42 104 26 .' 44 16 2 14 F 40 24 18FIG. 3 ...

Compound barb medical device and method

COMPOUND BARB MEDICAL DEVICE AND METHOD A compound barb medical device (100) includes a body portion (14) and at least one barb (12) extending therefrom. The at least one barb defines an inner surface. The inner surface includes a first portion (12a) disposed at a first orientation relative to a longitudinal axis of the body portion and a second portion (126) disposed at a second orientation relative to the longitudinal axis. The at least one barb is made from a shape memory material which can be deformed into a temporary shape from a permanent shape. The barb projects from the body portion in a first position relative to the body portion when in the permanent shape and in a second position when in the temporary shape. 12c 12b 12a ...

System and method for forming barbs on a suture

SYSTEM AND METHOD FOR FORMING BARBS ON A SUTURE Abstract A station for cutting a barb suture (10) is provided. The barb cutting station includes a suture transport assembly for supporting a first suture, a first knife assembly 5 for forming barbs (16) on the first suture, and a first clamp and position assembly for approximating the at least first suture towards the at least first knife assembly. The barb cutting station (100) may further include at least a first suture cutting mechanism configured for severing the at least first suture when a defect is detected. The station may also include at least a first visual inspection assembly configured for detecting defective 10 barbs. 12 -- 6 -14 ...

Device and method of performing cerclage sacrocervicopexy

A medical device and method of use comprising a base portion having a length extending from proximal end and a distal end a width extending from a first side to a laterally exposed second side. At least one arm extending from at least one of the first or second sides, the at least one arm extending a distance greater than the width of the base portion. The arm being configured to extend around at least a portion of a cervical isthmus.

Devices and methods for securing medical devices within an anatomy

The present disclosure includes a plurality of securing devices. For example, the present disclosure includes securing devices comprising sutures, everting anchors, and inverting anchors. The sutures and anchors disclosed herein may be capable of deployment to a depth within a body lumen, such that body tissue external to the body lumen is not damaged by the devices. Moreover, in various embodiments, the securing devices described herein may couple one or more medical devices (e.g., stents, grafts, and/or stent-grafts) to body tissue such as a body lumen. 7776233 1 (GHMatters) P99209.AU.2 ...

Medical device for wound closure and method of use

Barbed suture in combination with surgical needle

A barbed suture for connecting tissue, and a combination surgical needle with a barbed suture. The 5 suture includes an elongated body and a plurality of barbs projecting from the body. Each barb causes the suture to resist movement in an opposition direction from which the barb faces. The disposition of the barbs on the body may be staggered, twist cut multiple spiral, overlapping, or 10 random. Also, the configuration of the barbs may be a certain spirality angle a, barb cut angle e, barb cut depth, barb cut length, barb cut distance, corrugated barb underside, arcuate barb base, or varying barb size. 21393531 (GHMatters) 8/12109 Bl x4FIG, IB ...

Modular tissue securement systems

A system and method are disclosed for the securement of tissue and in particular for placement of a tongue base suspension fiber for the treatment of obstructive sleep apnea. The system incorporates disposable connectors with releasable needles to facilitate the placement of fibers with minimal increase in suture site dilation or trauma.

Method of closure for thoracotomy and thorascopy incisions

METHOD OF CLOSURE FOR THORACOTOMY AND THORASCOPY INCISIONS A method of closing a thoracic incision includes providing a barbed suture and threading the suture around first and second ribs of a chest wall in a generally S-shaped configuration to close an incision positioned therebetween. The barbed suture is threaded through the chest wall by introducing the barbed suture through a first terminal tissue layer and around a surface of the first rib that is facing a second terminal tissue layer, passing the barbed suture across the incision and around a surface of the second rib that is facing the first terminal tissue layer, and withdrawing the barbed suture through the second terminal tissue layer. A second barbed suture may be threaded through the chest wall in a complementary S-shaped configuration in which the second barbed suture enters and exits the chest wall through the opposing terminal tissue layer from that of the first barbed suture. 212b 216b 220b 220a 216a .214a 200 210 210214b ...

Spinal disc annulus reconstruction method and spinal disc annulus stent

BRAIDED BARBED SUTURE

... ²²²A suture assembly and a method for making the same is provided. The suture ²assembly includes a plurality of unbarbed filamentary elements intertwined ²with one another and at least one barbed filamentary element having a ²longitudinal axis and having plurality of barbs extending outwardly therefrom ²in a first direction less than 90 degrees from the longitudinal axis. ²According to exemplary embodiments, the at least one barbed filamentary may be ²intertwined along its length with the plurality of unbarbed filamentary ²elements, and the plurality of barbs extending outwardly beyond the unbarbed ²filamentary elements, or the primary outer periphery of the at least one ²barbed filamentary element may be contained within the intertwined unbarbed ²filamentary elements with the plurality of barbs extending through and ²outwardly from the plurality of unbarbed filamentary elements.² ...

SURGICAL SUTURING DEVICE, METHOD AND TOOLS USED THEREWITH

A suture insertion device is provided for positioning a suture inside a layer of subcutaneous tissue from a remote access point. A tether insertion device is provided for positioning a tether within subcutaneous tissue for operating on the suture from a remote access point. The suture insertion device and the tether insertion device cooperate to form the suture into a tissue-supporting sling useful for performing various surgical procedures, including but not limited to plastic surgery such as mid face lifts, neck lifts, brow lifts, under eye lifts, breast lifts, and organ repositioning.

SYSTEM AND METHOD FOR FORMING BARBS ON A SUTURE

A station for cutting a barb suture is provided. The barb cutting station includes a suture transport assembly for supporting a first suture, a first knife assembly for forming barbs on the first suture, and a first clamp and position assembly for approximating the at least first suture towards the at least first knife assembly. The barb cutting station may further include at least a first suture cutting mechanism configured for severing the at least first suture when a defect is detected. The station may also include at least a first visual inspection assembly configured for detecting defective barbs.

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods.

SURGICAL COMPOSITE BARBED SUTURE

In one embodiment, a medical device includes an elongate member (220) configured to be inserted into a body. The elongate member (220) has a first end portion (221) and a second end portion (223) opposite the first end portion (221). The elongate member (220) includes a retaining member (234) extending from the elongate member (220). The retaining member (234) is configured to anchor the elongate member (220) with respect to bodily tissue. The first end portion (221) of the elongate member (220) includes a coupling portion configured to be coupled to a filament' (210). The second end portion (223) of the elongate member (220) includes a coupling portion configured to be coupled to the filament (210).

BARBED SUTURES

A barbed suture for connecting tissue, and a combination surgical needle with a barbed suture. The suture includes an elongated body and a plurality of barbs projecting from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. The disposition of the barbs on the body may be staggered, twist cut multiple spiral, overlapping, or random. Also, the configuration of the barbs may be a certain spirality angle a, barb cut angle q, barb cut depth, barb cut length, barb cut distance, corrugated barb underside, arcuate barb base, or varying barb size.

SPINAL DISC ANNULUS RECONSTRUCTION METHOD AND SPINAL DISC ANNULUS STENT

A surgical method of repair and reconstruction of the spinal disc wall (annulus) after surgical invasion or pathologic rupture, incorporating suture closure, or stent insertion and fixation, designed to reduce the failure rate of conventional surgical procedures on the spinal discs. The design of the spinal disc annulus stent allows ingrowth of normal cells of healing in an enhanced fashion strengthening the normal reparative process.

DEVICES AND METHODS FOR SECURING MEDICAL DEVICES WITHIN AN ANATOMY

LAPAROSCOPIC SUTURING SYSTEM

A laparoscopic suturing device is provided. The suturing device can pass a suturing needle back and forth between jaws of a jaw assembly to suture tissue at a surgical site in a minimally invasive procedure. The jaw assembly can have a pivotable jaw member in each jaw to position the jaw assembly and needle in a low-profile stowed configuration for insertion through a low diameter surgical port. The jaw assembly can be actuated by a handle assembly that provides simultaneous needle passing from a driving jaw to a receiving jaw and latching the needle within the receiving jaw in a single trigger cycle.

SUTURE FOR LIFTING AND MANUFACTURING METHOD THEREFOR

A suture for lifting is disclosed. The suture comprises: a medical fiber yarn; fixing parts formed at one side of the fiber yarn and fixable to the skin; and anchor parts protruding on the outer circumference of the fixing parts, wherein the anchor parts are integrally formed with the fiber yarn through a double injection.

SYSTEMS FOR CLOSING A VESSEL WOUND

MEDICAL CLOSURE SCREEN INSTALLATION SYSTEMS AND METHODS

A medical closure screen device for a separation of first and second tissue portions is provided, which includes a mesh screen comprising tubular vertical risers, vertical strands with barbed filaments, and horizontal spacers connecting the risers and strands in a grid-like configuration. An optional perimeter member partly surrounds the screen and can comprise a perimeter tube fluidically coupled with the vertical risers to form a tubing assembly. Various input/output devices can optionally be connected to the perimeter tube ends for irrigating and/or draining the separation according to methodologies of the present invention. Separation closure, irrigation and drainage methodologies are disclosed utilizing various combinations of closure screens, tubing, sutures, fluid transfer elements and gradient force sources. The use of mechanical forces associated with barbed strands for repositionably securing separated tissues together is disclosed. The use of same for eliminating or reducing ...

METHOD OF FORMING BARBS ON A SUTURE

A method is provided for forming a barbed medical device which includes the steps of providing a blank workpiece and forming at least one barb on the blank workpiece by applying vibrational energy to a tool and bringing the tool and the blank workpiece into contact with each other at an angle such that the tool cuts into the surface of the blank workpiece. A barbed medical device formed by this method is also provided. ...

APPARATUS AND METHOD FOR SECURING TISSUE

An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a hone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance.

DEVICES AND METHODS FOR SECURING MEDICAL DEVICES WITHIN AN ANATOMY

SURGICAL END EFFECTORS

According to an aspect of the present disclosure, an end effector for use with a surgical device is provided. The end effector includes a driver, a clip assembly, a needle assembly, and biasing element. The clip assembly is disposed in mechanical cooperation with the driver. Rotation of the driver results in longitudinal translation of the clip assembly. The needle assembly is selectively engaged with the clip assembly. The biasing element is disposed in mechanical cooperation with the needle assembly and is configured to bias the needle assembly proximally.

LOOPED TISSUE-GRASPING DEVICE

A looped tissue-grasping device includes a looped suture having two ends swaged to a needle and a plurality of tissue-grasping elements provided on t he looped suture. The device is used for joining bodily tissue in surgical a pplications and wound repair. The configuration of the tissue-grasping eleme nts permit movement of the suture through the tissue in the direction the ne edle is pulled and, prevent slippage or movement of the suture in a directio n opposite to the direction of movement of the needle.

PELVIC IMPLANT AND TREATMENT METHOD

A unitary or homogeneous patterned implant is provided. The implant is constructed of patterned cells formed by way of a molding, die casting, laser etching, laser cutting, extruding, and the like. Portions of the implant can be formed into sinusoid or other waveform strut members. One or more undulating anchor arms or rods extend out from the implant for tissue fixation, with the one or more undulating anchor arms including one or more arcuate bends.

SYSTEM FOR PROVIDING SURGICAL ACCESS

One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member ( 14 ), a first helical member ( 66 ), an anchor member ( 54 ) removably coupled to the helical member distal end, and a suture member ( 52 ) coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical with between about one and three helical loops.

TAPERED LOOPED SUTURE

A suture including a loop having a tapered end is provided. The suture includes an elongate body including a proximal end and a distal end and a loop integrally formed on the distal end of the elongate body. At least a portion of the loop includes a shape memory polymeric material.

WOUND CLOSURE DEVICE

A wound closure device includes an elongated body with proximal and distal ends having a plurality of through-holes along the length and defining a longitudinal axis with a plurality of surface features extending away from the axis. The proximal end is configured and dimensioned to pass through body tissue and thereafter be selectively passed through at least one of the plurality of through-holes such that at least one of the surface features also passes through the through-hole thereby forming a locked closed loop to secure body tissue held therein.

SUTURE DELIVERY TOOLS FOR ENDOSCOPIC AND ROBOT-ASSISTED SURGERY AND METHODS

A suture delivery tool releasably secures a self-retaining suture to permit delivery of the self-retaining suture to a surgical site in a patient through an access port. Suture delivery tools are disclosed suitable for manual operation and operation using robotically-assisted surgical systems. In some embodiments, a suture spool is part of a cartridge which is releasably attached to the suture delivery tool. Cartridges is, in some embodiments, replaced after deployment of the self-retaining suture and different cartridges having different self-retaining suture are, in some embodiments, selected and attached to the suture delivery tool as required for a procedure.

HERNIA REPAIR DEVICE AND METHOD

A hernia repair device includes a mesh configured to extend across a tissue defect and a plurality of filaments coupled to the mesh. The filaments are coupled to the mesh in proximity of an outer periphery thereof and extend from a central portion of the mesh. Each filament includes a plurality of barbs disposed along at least a portion of the length thereof. Each filament further includes a needle disposed at a free end thereof.

APPARATUS AND METHOD FOR SUTURING

The invention generally relates to devices and methods for suturing tissue. The invention provides methods and devices for suturing by pushing two ends of a suture through tissue from a proximal side of the tissue and fastening the two ends together on a distal side of the tissue through one operation of a trigger.

Fil textile et procédé pour sa fabrication

ХИРУРГИЧЕСКАЯ НИТЬ ДЛЯ ПЛАСТИЧЕСКОЙ, ДЕРМАТОЛОГИЧЕСКОЙ И ВОССТАНОВИТЕЛЬНОЙ ХИРУРГИИ И ХИРУРГИЧЕСКИХ ШВОВ

Хирургическая нить, предназначенная для использования в пластических, дерматологических и косметических операциях, а также в общей хирургии, при неотложной хирургической помощи и всех областях специализированной хирургии, отличающаяся тем, что она снабжена наклонными выступами, или шипами, или крючками разной формы и определенного размера, распределенными вдоль спирали, а также сгруппированными в последовательности, в которых они наклонены в противоположных направлениях с целью предотвращения скольжения или сдвигания нити в обоих противоположных направлениях.

Drug eluting self-retention suture and related method thereof

INSTRUMENT TO BE APPLIES TO ALTER THE VOLUME OF THE STOMACH OF A PATIENT.

Injector for injecting medical yarn

METHOD FOR MANUFACTURING ABSORBABLE SUTURE

The present invention relates to an absorbable suture and a manufacturing method thereof. The absorbable suture comprises: a total body which is a body part of raw yarn; and a protrusion unit which is formed in regular intervals so that both sides of the total body are dislocated while being tilted at regular angles. Accordingly, physical strength and fixing force are improved. The manufacturing method comprises the following steps: heating and compressing raw yarn, which is a suture raw material, on an upper surface and a lower surface; and cutting the compressed raw yarn on the upper surface and the lower surface using a cutting mold and forming the protrusion unit so that both sides of the raw yarn are dislocated while being tilted at regular angles. COPYRIGHT KIPO 2017 ...

METHOD OF FORMING BARBS ON A SUTURE AND APPARATUS FOR PERFORMING SAME

A method of making a barbed suture by varying the blade geometry and/or the movement of the blade when cutting a suture is disclosed. The method can also be accomplished with a cutting device to create a plurality of barbs on the exterior of surgical suture. The barbs produced using the method with the cutting device can be the same or random configurations. © KIPO & WIPO 2007 ...

미늘을 포함하는 필라멘트사 제조 방법 및 장치

... 본 발명은 구동부, 상기 구동부의 회전 중심과 평행하게 이격되어 배치되고, 상기 구동부의 회전력을 전달받아 회전되는 구동축, 외주면에 필라멘트사가 권선되고, 상기 구동축의 회전력을 전달받아 회전되는 보빈, 상기 구동축과 동축 상에 배치되고, 상기 구동축의 길이 방향을 따른 일단에 결합되어 회전되는 스플라인축, 상기 스플라인축과 평행하게 이격되어 배치되고, 상기 스플라인축의 회전력을 전달받아 회전되되, 상기 보빈과 동축 상에 배치되어 상기 보빈의 필라멘트사를 견인하는 지그 부재 및 상기 보빈과 지그 부재의 사이에 위치하는 필라멘트사의 표면의 일부분을 경사지게 절개하는 가공 블레이드를 포함하는, 미늘 을 포함하는 필라멘트사 제조 장치를 제공한다.

assembly for inserting a length of suture within the mammalian body

Improved endoprosthesis anchoring and sealing

Described are various embodiments of an improved endoprosthesis that includes a generally cylindrical graft portion that extends along a longitudinal axis to define a flow passage and a plurality of stent hoops. The plurality of stent hoops are connected to the graft portion and disposed in a spaced apart relationship along the longitudinal axis. There is at least a first suture disposed along on the outer surface of the main body. The first suture connects at least two of the spaced apart stent hoops together. The first suture also includes unidirectional barbs (or multidirectional barbs) configured to reduce movement of the main body with respect to a direction of blood flow in an artery.

AN IMPLANTED MEDICAL DEVICE ESPECIALLY USED IN COSMETIC SURGERY

The present invention provides an implantable medical device adapted for use in surgical operations, said device being implantable in a predetermined body portion to be treated; said predetermined body portion is characterized by a first extremity and by a second extremity, wherein said device comprises (a)at least one element having a body, a distal end, and a proximal end; said body being characterized by (i) at least one inactivated position; and, (ii) a plurality of activated positions; (b) at least one anchoring means coupled to said distal end of said element, adapted to anchor said distal end to said first extremity in said predetermined body portion; and, (c)at least one anchoring means coupled to said proximal end of said element, adapted to anchor said proximal end to said second extremity in said predetermined body portion; said element is at least partially reconfigurable from said activated position to said inactivated position and/or from said plurality of inactivated positions ...

THREAD FOR PLASTIC, DERMATOLOGIC OR COSMETIC SURGERY, IN PARTICULAR FOR USE AS A SUTURE FOR INCREASING THE VOLUME OF LIPS

A suturing thread (F) has a structure that differs from that of known suturing threads in so far as it is bi-directional in the sense that it can be introduced into tissues in one direction or the other, is free to fluctuate (i.e. it is without anchorage points) and is provided with sequences of inclined protuberances or spines (S) that have the peculiarity of being alternately divergent, the spines of one sequence being oriented in directions opposite to those of the adjacent sequences. Said spines are present throughout the length of the thread but absent at the midpoint of the suture and at the end areas of the thread itself. In a first embodiment, the arrangement of the spines along the thread is such that the spines of one sequence are on the side of the thread diametrally opposite to where the spines of the adjacent sequences are arranged; i.e., they are set at an angular distance of 180° with respect to the spines of the other adjacent sequences.

BARBED SUTURES HAVING A THERAPEUTICS AGENT THEREON

A barbed suture having a therapeutic agent.

SURGICAL COMPOSITE BARBED SUTURE

In one embodiment, a medical device includes an elongate member (220) configured to be inserted into a body. The elongate member (220) has a first end portion (221) and a second end portion (223) opposite the first end portion (221). The elongate member (220) includes a retaining member (234) extending from the elongate member (220). The retaining member (234) is configured to anchor the elongate member (220) with respect to bodily tissue. The first end portion (221) of the elongate member (220) includes a coupling portion configured to be coupled to a filament' (210). The second end portion (223) of the elongate member (220) includes a coupling portion configured to be coupled to the filament (210).

SPECIAL-THREAD MANUFACTURING EQUIPMENT

The invention relates to special thread manufacturing equipment which forms spines on the surface of a special thread. According to the invention, the special thread is formed in a manner such that some portion of the surface of the special thread transported from a special thread supplying device with proper tension, being transported by a special thread transporting device, is cut and thus the special thread comes to have spines on the surface thereof, the spine-formed special thread finally being cut by a special thread cutting device. Accordingly, the special thread manufacturing equipment can produce the special thread while having a simple structure and can improve the productivity of the special thread.

LOOPED TISSUE-GRASPING DEVICE

A looped tissue-grasping device includes a looped suture having two ends swaged to a needle and a plurality of tissue-grasping elements provided on the looped suture. The device is used for joining bodily tissue in surgical applications and wound repair. The configuration of the tissue-grasping elements permit movement of the suture through the tissue in the direction the needle is pulled and, prevent slippage or movement of the suture in a direction opposite to the direction of movement of the needle.

Fold-Resistant Pelvic Implant System and Method

A pelvic non-folding hammock implant is provided. Such an implant can be constructed of a polymer material to provide an implant portion, e.g., support portion, having one or more extending and independent teeth-like features defining a fold control portion in a generally comb-like construct. The individual teeth resist folding by providing independently reacting extensions along the fold control portion.

Medical product, in particular for management of tissue repair

A medical product includes at least one elongate body including cells and a method for manufacturing the medical product.

Method for providing surgical access

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.

Device and method for treatment of hemorrhoids

A device and method for treatment of hemorrhoids, in which the devices includes: a housing insertable into the rectum; a tissue port configured to receive a tissue segment containing at least a portion of a hemorrhoidal blood vessel; opposing needle chambers including at least one pair of corresponding needles coupled by a suture in which the pair of corresponding needles are substantially opposite to one another and in an active position substantially aligned with the tissue segment; a needle driver that advances the pair of corresponding needles through the tissue segment to encircle a portion of the hemorrhoidal blood vessel with the suture, thereby ligating the hemorrhoidal blood vessel; and an actuator coupled to at least one of the needle chambers that actuates the needle chambers such that another pair of corresponding needles is in the active position.

Stitch lock for attaching two or more structures

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.

Method and apparatus for the treatment of tissue

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.

Bioactive Substance in a Barbed Suture

Barbed surgical sutures are provided which include an elongated body and a plurality of barbs extending therefrom. A bioactive agent is disposed within barb angles formed between the barbs and the elongated body. The barbs may be made from a shape memory polymer having a permanent shape which may be deformed to a temporary shape, such that barbs of the suture extend at different barb angles in the different shape configurations. The barb angles of the permanent shape may be greater than the barb angles of the temporary shape, thereby exposing and/or releasing a bioactive agent after placement in tissue.

Barb configurations for barbed sutures

A barbed suture for connecting tissue, and a combination surgical needle with a barbed suture. The suture includes an elongated body and a plurality of barbs projecting from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. The disposition of the barbs on the body may be staggered, twist cut multiple spiral, overlapping, or random. Also, the configuration of the barbs may be a certain spirality angle α, barb cut angle Θ, barb cut depth, barb cut length, barb cut distance, corrugated barb underside, arcuate barb base, or varying barb size.

Pelvic Implant System and Method

Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition urethral support tissue, such as the portion of the perineal membrane above or below the urethra. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence.

Braided self-retaining sutures and methods

A self-retaining braided suture comprises a braided suture with tissue retainers formed on the surface such that the suture can engage and retain tissue without knots. The suture includes a plurality of braided fibers which may be covered by a non-braided sheath of a material which enhances the formation, elevation and/or deployment of the retainers. The retainers can be formed so as not to disrupt the braided fibers. The self-retaining braided suture has properties which enhance the tensile strength of the suture while preserving flexibility and durability. Methods for manufacturing and using self-retaining braided suture are also described.

Locking suture

A locking suture comprises a main suture branch with at least one member fixably attached, wherein the main suture branch and at least one member pass through a suture eyelet of the locking suture in a first direction, but passage of the member in a second direction through the suture eyelet is resisted due to mechanical impediment between the member and the eyelet.

Suture delivery tools for endoscopic and robot-assisted surgery and methods

A suture delivery tool releasably secures a self-retaining suture to permit delivery of the self-retaining suture to a surgical site in a patient through an access port. Suture delivery tools are disclosed suitable for manual operation and operation using robotically-assisted surgical systems. In some embodiments, a suture spool is part of a cartridge which is releasably attached to the suture delivery tool. Cartridges is, in some embodiments, replaced after deployment of the self-retaining suture and different cartridges having different self-retaining suture are, in some embodiments, selected and attached to the suture delivery tool as required for a procedure.

Barbed sutures having contoured barbs that facilitate passage through tissue and increase holding strength

A wound closure device includes a filamentary element having a proximal end and a distal end, and a plurality of barbs extending outwardly from the filamentary element. Each barb has a base connected with the filamentary element, a tip spaced from the base, and an outer edge that extends between the base and the tip. The outer edge includes a first section having a concave surface that extends between the base and a transition point of the barb and a second section having a convex surface that extends between the transition point of the barb and the tip of the barb. The outer edge transforms from the concave surface of the first section to the convex curve of the second section at the transition point of the barb. The tip of the barb has a convexly curved surface facing the distal end of the filamentary element. The unique dual radius shape of the outer edge of the barbs and the tips of the barbs minimizes resistance when the filamentary element is pulled in a first direction through tissue and maximizes resistance to movement when the filamentary element is pulled in an opposite, second direction through tissue for holding the wound closure device stationary.

System and method for transapical access and closure

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.

HERNIA REPAIR DEVICE AND METHOD

A hernia repair device includes a mesh configured figured to extend across a tissue defect and a plurality of filaments coupled to the mesh. The filaments are coupled to the mesh in proximity of an outer periphery thereof and extend from a central portion of the mesh. Each filament includes a plurality of barbs disposed along at least a portion of the length thereof. Each filament further includes a needle disposed at a free end thereof. 120-. (canceled)21. A hernia repair device , comprising:a mesh defining a plane, an outer periphery, and a central portion, the mesh configured to extend across a tissue defect; anda plurality of filaments coupled to the mesh at a position spaced-apart from the central portion of the mesh, extending within the plane towards the central portion of the mesh, and extending out of the plane from the central portion of the mesh, each filament having a needle disposed at a free end thereof.22. The hernia repair device according to claim 21 , wherein each filament is coupled to the mesh in proximity of the outer periphery of the mesh.23. The hernia repair device according to claim 21 , wherein the mesh includes a first annular support member coupled thereto in proximity of the outer periphery thereof and a second annular support member coupled thereto in proximity of the central portion thereof.24. The hernia repair device according to claim 23 , wherein each filament is coupled to the first annular support member and extends radially inwardly within the plane toward the second annular support member claim 23 , each filament extending out of the plane through an aperture defined by the second annular support member.25. The hernia repair device according to claim 21 , wherein the filaments are substantially equally-spaced about the mesh.26. The hernia repair device according to claim 21 , wherein each filament includes at least two support strands coupled thereto such that each filament is coupled to the mesh in at least two attachment ...

Fixation Assembly With A Flexible Elongated Member For Securing Parts of a Sternum

A fixation assembly for securing parts of a sternum is provided. The assembly comprises a flexible elongated member and an attachment member. The flexible elongated member includes a locking structure configured to secure the flexible elongated member in a loop around the sternum parts. The attachment member has at least one opening for receiving a bone fastener and is coupled to the flexible elongated member.

Barbed suture and manufacturing method of the barbed suture

The present invention is related to a suture having a cord member. The cord member includes a cord and an outer later covering the core. An outer circumferential surface of the core includes a plurality of protrusions, and the plurality of protrusions are arranged in a ring shape relative to a center of the core. Through spiral cutting method to perform processing on the outer circumferential surface of the outer surface, a plurality of cutting slots are formed at the outer circumferential surface of the outer layer. After the processing of each cutting slot is complete, a protruding member for retaining skin is formed correspondingly.

ANCHORED SUTURE LINE, DEVICE AND METHOD FOR SURGICAL SUTURING

Anchored suture line (ASL), comprising a suture thread upon which is located a plurality of anchor structures permanently attached to said suture thread at predetermined intervals, may be advantageously employed for surgical suturing procedures. An ASL suturing device may be employed to sequentially implant the anchors, still tethered to the suture line. As they are implanted, the anchors expand thereby becoming secured in the tissue. The process may be repeated without cutting the suture line until the wound is sealed. 1. A method for performing interrupted or continuous surgical suturing comprising the steps of: 'wherein said anchored suture line (ASL) suturing device comprises an injector tip and said anchored suture line is formed of a first bio-compatible suture thread upon which is located at least three anchor structures permanently attached to said suture thread at predetermined intervals, said anchor structures comprised of a second bio-compatible material, distinct from said first bio-compatible suture thread material, that can be caused to transition from a compressed state to an expanded state after implantation in biological tissue;', 'a.) obtaining an anchored suture line suturing device preloaded with anchored suture line,'}b.) puncturing said injector tip of said ASL suturing device into said biological tissue at a first location;c.) injecting a first anchor structure into said biological tissue, from said ASL suturing device, through said injector tip;d.) causing said first anchor structure to expand and remain anchored at said first location;e.) withdrawing said injector tip from said biological tissue from said first location;f.) puncturing said injector tip into said biological tissue at a second location, said second location laterally displaced from said first location;g.) injecting a second anchor structure from said ASL suturing device through said injector tip, wherein said second anchor structure remains attached to said first anchor ...

Method and apparatus for fabricating self-retaining sutures with calibration

An apparatus and method for improved cutting of self-retaining elements on a suture material, including the use of an improved calibration system. The calibration system includes a light emitting source and light receiving source, emitting light through a blade housing where the blade edge is within the light emitted pathway. The blade housing can be moved in accordance with the calibration information.

Methods and systems for advancing and anchoring suture in tissue

Suture constructs have a distal suture anchor and optionally a proximal suture anchor for mobilizing the sutures within tissue. The suture may be implanted using conventional straight, curved, or helical needles. Coupling elements may be provided in the suture constructs in order to indicate the amount of pulling force being applied to the suture when it is being manually manipulated.

KNOTLESS CLOSURE SUTURES AND METHODS OF TISSUE FIXATION

Surgical suturing constructs, suture anchor assemblies, and methods of tissue fixation are disclosed. The suturing construct includes a bumpy suture. A suturing construct may include one or more small loops on a distal end. A suturing construct may include a splice terminating into a tapered portion/region at a proximal end. A bumpy suture of a suturing construct may form a knotless, closed, self-locking loop around tissue. 1. A suturing construct , comprising:a coreless suture having a first end and a second end in the form of a tapered end portion;an inner filament with a plurality of enlargements, the inner filament and the plurality of enlargements being completely covered by the coreless suture; anda locking mechanism at the first end.2. The suturing construct of claim 1 , wherein the plurality of enlargements do not penetrate an outer surface of the coreless suture claim 1 ,3. The suturing construct of claim 1 , wherein the plurality of enlargements are barbs claim 1 , knots claim 1 , beads claim 1 , protuberances or combinations thereof.4. The suturing construct of claim 1 , wherein the plurality of enlargements allow locking of the suturing construct.5. The suturing construct of claim 1 , wherein each of the plurality of enlargements has an outer diameter greater than an outer diameter of the inner filament.6. The suturing construct of claim 1 , wherein each of the plurality of enlargements has an outer diameter greater than an outer diameter of the coreless suture.7. The suturing construct of claim 1 , wherein the coreless suture is a coreless braid or sheath formed of twisted yarns of ultrahigh molecular weight polyethylene that are braided together.8. The suturing construct of claim 1 , wherein the coreless suture is a coreless braid or sheath formed of polyester yarns.9. (canceled)10. The suturing construct of claim 1 , wherein the coreless suture is provided with a closed loop at the first end.11. The suturing construct of claim 10 , wherein the closed ...

Cosmetic Implant

The invention concerns an implant for adjusting the position of at least one tissue holder ( 6 ) for soft tissue, whereby this implant can be fixed to bone tissue at a distance from said tissue holder ( 6 ) and has a guide ( 3 ) for an elongate pulling member ( 4 ), whereby this pulling member ( 4 ) is connected to said tissue holder ( 6 ), and whereby the implant includes a fixing element ( 10 ) which can be moved between a fixing position in which the pulling member ( 4 ) is clamped by the fixing element ( 10 ) and a free position in which said pulling member ( 4 ) can freely move through said guide ( 3 ), characterised in that said fixing element ( 10 ) cooperates with a control element ( 14 ) which makes it possible to move this fixing element ( 10 ) between said fixing position and said free position when the implant is attached to said bone tissue and when the implant is covered with soft tissue such as muscle tissue or skin tissue.

SUTURE FOR SOFT TISSUE REPAIR

A method for repairing a soft tissue includes boring a first nest in a portion of a bone at a first location, boring a second nest through a portion of the bone at a second location, shuttling a suture from a top surface of the soft tissue to a bottom surface of the soft tissue, disposing a first suture anchor in the first nest and fixating the first suture anchor to the first location, passing the suture through the first suture anchor, the bottom surface of the soft tissue and the top surface of the soft tissue to form a medial row, disposing a second suture anchor in the second nest and fixating the second suture anchor to the second location, passing the suture through the second suture anchor from the top surface of the soft tissue to form a lateral row, and tensioning the suture. 1. A method for repairing a soft tissue comprising:boring a first nest in a portion of a bone at a first location;boring a second nest through a portion of the bone at a second location;shuttling a suture from a top surface of the soft tissue to a bottom surface of the soft tissue;disposing a first suture anchor in the first nest and fixating the first suture anchor to the first location;passing the suture through the first suture anchor, the bottom surface of the soft tissue and the top surface of the soft tissue to form a medial row;disposing a second suture anchor in the second nest and fixating the second suture anchor to the second location;passing the suture through the second suture anchor from the top surface of the soft tissue to form a lateral row; andtensioning the suture.2. The method of claim 1 , wherein a first region proximate to a first end of the suture;', 'a second region; and', 'a third region proximate to a second end of the suture, and, 'the suture comprisesthe first end of the suture is passed through the second region of the suture.3. The method of claim 2 , wherein the suture is an asymmetric suture claim 2 , the asymmetric suture defined claim 2 , at least in ...

Surgical fastener delivery and locking mechanism

The invention provides a fastening device for laparoscopic hernia repair. The coordinated operation of two insertion members stabilizes a fastener during closure and locking to ensure that the fastener is locked in the intended location before the device releases from the fastener. One of the insertion members includes a pair of prongs that exhibit a closed configuration when they are disposed in a recess at an end of the fastener. The fastener has a hook at one end and a loop at the other end. The insertion members push the fastener out from the device and through the tissue. A curvature in at least one of the insertion members pushes the hook through the loop all while the prongs are in the recess in the fastener, thereby stabilizing the fastener with respect to the device.

Shape memory patch for tissue repair

A patch of material is configured to be applied to human tissue. The patch includes a film comprising poly(L-lactide) and poly(#-caprolactone). The film is configured to self-deploy between a first position and a second position in response to a temperature. The film is applied to the human tissue when the patch of material is in the second position, in which the film has a planar configuration.

Self-retaining sutures of poly-4-hydroxybutyrate and copolymers thereof

Absorbable monofilament fibers and self-retaining sutures with high tensile strengths have been developed. The straight pull tensile strengths of the absorbable self-retaining sutures closely approximate, equal or exceed the average minimum knot-pull tensile standards set by the United States Pharmacopeia (USP). These higher strength absorbable self-retaining sutures can therefore be used either without needing to oversize the suture for a given procedure, or by oversizing the self-retaining suture by no more than 0.1 mm in diameter. In one embodiment, the absorbable self-retaining sutures are made from poly-4-hydroxybutyrate or copolymers thereof. Methods for producing absorbable self-retaining sutures that have high tensile strengths and pronounced sheath-core structures wherein the sheath is harder than the core are also provided. The self-retaining sutures may be made by spinning and orienting a monofilament fiber of poly-4-hydroxybutyrate or copolymer thereof and inserting retainers in monofilament fibers.

KNOTLESS SUTURE, AND KIT CONTAINING SAME

The present invention relates to a suture which is firmly maintained and fixed to an operation site to stably sustain suturing or lifting effects for a long time. More specifically, the present invention provides a suture having a conic or pyramidal shape with a cut top, wherein a suture supporter comprising a communication hole penetrating the both ends is provided at one end. The suture support can have one or more portions which are cut vertically from a lower end at a lower end portion having a larger diameter between the both ends, or a part of the lower end can be removed so as to form one or more gaps formed from the end at a wall of the end portion. 124-. (canceled)25. A suture comprising:first and second ends; anda suture supporter adjacent to the first end of the suture,wherein the suture supporter has upper and lower end portions, and a communication hole through which the upper and lower end portions communicate with each other,wherein the suture supporter is disposed such that the upper end portion faces the first end of the suture,wherein the suture supporter is formed of a material absorbable by a body,wherein the suture near the first end with reference to the upper end portion is formed of two strands having a knot,wherein the two strands penetrate through the communication hole from the upper end portion to the lower end portion, with the second end formed in a closed shape, andwherein the suture supporter has a truncated conical shape or a truncated pyramid shape, and a diameter of the lower end portion is greater than that of the upper end portion.26. The suture of claim 25 , wherein the suture penetrates and is inserted into an inside of a tissue beginning with its first end.27. The suture of claim 26 , wherein a portion of the suture constituted by a single strand claim 26 , which is folded substantially in half claim 26 , becomes the second end claim 26 , while a side of the suture opposite to the folded portion becomes the first end.28. The ...

Suture fixation device and method thereof

A suture fixation device and method thereof is provided. The suture fixation device includes a suture fiber having a length of about 24 to 40 inches and a plurality of knots spaced apart from each other along the length of the suture fiber. Each of the plurality of knots has an overall width of about 3.0 to 4.0 mm.

MESH SUTURE WITH ANTI-ROPING CHARACTERISTICS

A medical device includes a surgical needle attached to a mesh suture having anti-roping elements. The suture is constructed of a macroporous mesh wall that facilitates and allows tissue integration subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility. Advantageously, the anti-roping elements serve to maintain the desired construct of the mesh wall when undergoing axial tensile loads by resisting elongation and loss of outer mesh wall macroporosity, while still permitting a flattening of the suture with lateral loading. 1. A medical device comprising:a surgical needle;an elongated suture having a first end attached to the surgical needle and a second end located away from the surgical needle, the elongated suture including a mesh wall and a plurality of pores extending through the mesh wall, at least some of the pores in the macroporous size range of greater than 200 microns and adapted to facilitate tissue integration through the mesh wall of the suture when introduced into a body; andone or more anti-roping elements fixed to the mesh wall, the anti-roping elements resisting elongation of the elongated suture when a tensile load is applied along an axial direction between the first and second ends of the elongated suture.2. The medical device of claim 1 , wherein the one or more anti-roping elements resists collapsing of the mesh wall upon itself claim 1 , which would otherwise result in a reduction in pore size claim 1 , when a tensile load is applied along an axial direction between the first and second ends of the elongated suture.3. The medical device according to claim 1 , wherein the one or more anti-roping elements comprises one or more longitudinal fibers extending between the first and second ends of the elongated suture and either (a) fixed at one or more points to the mesh wall claim 1 , or (b) not fixed to the mesh wall.4. The medical device according to claim 1 , wherein the one or more anti- ...

Novel Suturing Thread For Facelift And Body Lift

The present invention relates to a suturing thread for providing a more efficient lift procedure, and provides a suturing thread for a facelift and a body lift, wherein the suturing thread is made of a polymer material and has a plurality of conical protrusions or a plurality of funneled protrusions formed on an outer circumferential surface of a main thread of the suturing thread. 1. A suturing thread for face lift and body lift made of a polymer or gold with a plurality of protrusions formed on an outer circumferential surface of a main thread of the suturing thread in which the protrusion has a stereo structure of cone , polygonal cone , truncated cone , modified polygonal cone , truncated polygonal cone , modified truncated polygonal cone , cylinder , modified cylinder , polygonal cylinder , or modified polygonal cylinder that are formed to have a radially symmetric structure around a main thread of the suturing thread , or has a funnel shape in which a part or whole of the space excluding the outer circumferential surface of the stereo structure and a main thread part of the suturing thread present inside is empty , and the plurality of protrusions is symmetrically arranged such that their vertices can face each other with respect to the center of the suturing thread.2. A suturing thread for face lift and body lift made of a polymer or gold with a plurality of paired protrusions or protrusion units formed on an outer circumferential surface of a main thread of the suturing thread in which the protrusion has a stereo structure of cone , polygonal cone , truncated cone , modified polygonal cone , truncated polygonal cone , modified truncated polygonal cone , cylinder , modified cylinder , polygonal cylinder , or modified polygonal cylinder that are formed to have a radially symmetric structure around a main thread of the suturing thread , or has a funnel shape in which a part or whole of the space excluding the outer circumferential surface of the stereo ...

Tissue Fixation Device

A tissue fixation device includes an elongated body extending between a distal portion including a barbed loop, and a proximal portion including a blunt tip. The elongated body, proximal portion, and distal portion are provided in a variety of configurations depending upon the performance requirements desired of the tissue fixation device for the envisaged application of use. 1. A tissue fixation device comprising a proximal portion including a blunt tip , an elongated body extending between the proximal portion and a distal portion , the distal portion including a barbed loop.2. The tissue fixation device of claim 1 , wherein the proximal portion is free of barbs.3. The tissue fixation device of claim 1 , wherein the proximal portion includes a loop.4. The tissue fixation device of claim 3 , wherein the loop is free of barbs.5. The tissue fixation device of claim 1 , wherein the proximal portion includes a cap.6. The tissue fixation device of claim 5 , wherein the cap is magnetic.7. The tissue fixation device of claim 5 , wherein a ring extends from a proximal end of the cap.8. The tissue fixation device of claim 1 , wherein the distal portion includes a pledget.9. The tissue fixation device of claim 8 , wherein the pledget includes a proximal surface and a distal surface claim 8 , the proximal surface including at least one dart extending proximally therefrom.10. The tissue fixation device of claim 8 , wherein the pledget is disposed at a distal-most end of the barbed loop.11. The tissue fixation device of claim 8 , wherein the pledget includes at least one pair of spaced openings claim 8 , and the barbed loop is laced through the openings.12. The tissue fixation device of claim 1 , wherein the barbed loop is configured to move from a first position in which the barbed loop is open and a second position in which the barbed loop is closed.13. The tissue fixation device of claim 12 , wherein the barbed loop includes a distal portion that is fixed to the elongated ...

ANTIMICROBIAL WOUND CLOSURE MATERIALS, INCLUDING ANTIMICROBIAL SUTURES, AND METHOD FOR CLOSING A WOUND USING THE SAME

An antimicrobial suture comprising a filament and taurolidine. 1. An antimicrobial suture comprising at least one filament and taurolidine carried by said at least one filament.2. An antimicrobial suture according to wherein said at least one filament comprises a single filament.3. An antimicrobial suture according to wherein said at least one filament comprises a plurality of filaments.4. An antimicrobial suture according to wherein said plurality of filaments adhere to one another so as to constitute a singular structure.5. An antimicrobial suture according to wherein said plurality of filaments are co-extruded so as to form a composite structure.6. An antimicrobial suture according to wherein said plurality of filaments are braided together so as to constitute a singular structure.7. An antimicrobial suture according to wherein said at least one filament is resorbable.8. An antimicrobial suture according to wherein said at least one filament is non-resorbable.9. An antimicrobial suture according to wherein said at least one filament comprises a polymer.10. An antimicrobial suture according to wherein said at least one filament comprises a homopolymer.11. An antimicrobial suture according to wherein said at least one filament comprises a copolymer.12. An antimicrobial suture according to wherein said at least one filament comprises a material selected from the group consisting of polyglycolide (PGA) claim 1 , poly(glycolide-lactide) random copolymer (Vicryl®) claim 1 , poly-p-dioxanone (PDS® claim 1 , PDSII®) claim 1 , poly(glycolide-trimethylene carbonate block copolymer (Maxon®) claim 1 , poly(glycolide-e-caprolactone)(Monocryl®) claim 1 , glycolide-dioxanone-trimethylene carbonate triblock copolymer (Biosyn®) claim 1 , polyethylene claim 1 , polypropylene claim 1 , poly(tetrafluroethylene)(Gore-Tex®) claim 1 , stainless steel claim 1 , polyesters claim 1 , polyester-ethers claim 1 , polyester-carbonates claim 1 , polyamides claim 1 , polyolephins claim 1 , ...

Integrated needle and cannula for plastic surgery

An integrated needle and cannula assembly for plastic surgery including a syringe connected to a blunt-tipped cannula where the blunt-tipped cannula is inserted into the hollow annular space of a hypodermic needle. In operation, the medical practitioner penetrates into the patient's skin using the hypodermic needle and then slides the blunt-tipped cannula through the annular space of the needle. A transporter assembly can be interposed between the syringe and the overlapping needle/cannula. The transporter assembly may include a retractable inner needle tube attached to the hypodermic needle and an external transporter housing which connects the syringe to the cannula through a cannula connector. Once the blunt tipped cannula is under the patient's skin, the needle is preferably withdrawn from the patient's skin to allow sub-dermal substances to be injected using only the blunt-tipped cannula. Withdrawal of the needle can be assisted with either a pull spring or push spring. In an alternative embodiment, a sharp-tipped trocar inside a cannula is used to penetrate the patient's skin. In a further alternative embodiment, a barbed surgical thread may be attached to said cannula to perform thread-lift procedures.

Self locking knotless suture

Self-locking knotless sutures and associated methods are disclosed. A system for securing tissue includes a monofilament and a braid having a fixed end and a capture end. A first end of the monofilament is connected to the fixed end of the braid. A second end of the monofilament opposite the first end is a free end. The capture end of the braid has a first opening and a second opening. The monofilament and braid are structured and arranged for the free end of the monofilament to be inserted into the first opening, passed through a tunnel formed by the braid, and passed out of the second opening, all while moving in a first direction. After insertion of the monofilament into the braid, the braid prevents movement of the monofilament in a second direction opposite the first direction to prevent the monofilament from being pulled out of the braid.

TAPERED TRANSITION PORTION FOR SUTURE NEEDLES

Disclosed is a suturing needle having a tapered transition portion extending from a proximal end of the needle to cover at least a portion of a suture thread swaged on the needle. The tapered transition portion is flexible and provides a smooth transition from a diameter of the suture thread to a diameter of the needle body. The tapered transition portion allows for engaging the suture needle on rollers of a rotational needle driver in one smooth motion. 1. A suturing needle comprising:a needle tip portion having a needle tip at a distal end for piercing tissue;a needle body having a distal end connected to a proximal end of the needle tip portion;a suture thread attached to a proximal end of the needle body by a thread attachment component; anda tapered ramp extending from the proximal end of the needle body and covering the thread attachment component and at least a portion of the suture thread.2. The needle of claim 1 , wherein a first end of the tapered ramp proximal the needle body has a diameter equal to a needle body diameter claim 1 , and a second end of the tapered ramp opposite the first end has a diameter equal to a suture thread diameter claim 1 , and wherein the tapered ramp provides a smooth transition from the first end to the second end thereof.3. The needle of claim 1 , wherein the tapered ramp is flexible.4. The needle of claim 1 , wherein the tapered ramp is formed of a cyanoacrylate5. The needle of claim 1 , wherein the needle tip portion is formed to become gradually thicker from the needle tip to the proximal end thereof.6. The needle of claim 1 , wherein the suture thread is mono-filamentary or multi-filamentary.7. The needle of claim 1 , wherein the suture thread is bioabsorbable.8. The needle of claim 1 , wherein the suture thread comprises at least one region of tissue retaining structures.9. The needle of claim 8 , wherein the tissue retaining structures are barbs.10. The needle of claim 8 , wherein the at least one region of tissue ...

APPARATUSES AND METHODS FOR WOUND THERAPY

Some arrangements disclosed herein relate to devices and methods for treating a wound, comprising applying negative pressure to the wound through a cover applied over a wound, monitoring the internal pressure in the wound, and controlling the closure of the wound by controlling the amount that a wound packing material positioned under the cover collapses within the wound based on the monitored internal pressure. The wound packing material collapse can be controlled to ensure that the monitored internal pressure does not exceed a threshold value. Additionally, some embodiments or arrangements disclosed herein relate to a visualization element to visualize a location of a wound surface. The visualization element can comprise a radiopaque member that is configured to be positioned on or adjacent to a surface of an open wound. 141.-. (canceled)42. A system for providing negative pressure wound therapy to a wound , comprising:a backing layer for providing a substantially air and liquid-tight seal over a wound cavity;a first pressure sensor for detecting pressure within the wound cavity, the first pressure sensor positioned inside a bladder member;a source of negative pressure for providing negative pressure to a space beneath the backing layer;a canister configured to collect wound exudate removed from the wound;a second pressure sensor positioned in the fluid path between the dressing and the source for negative pressure; anda controller programmed to receive sensor data from the first and second pressure sensor and control the negative pressure provided based on the sensor data.43. The system of claim 42 , further comprising a wound packing member or wound filler.44. The system of claim 43 , wherein the wound packing member or wound filler comprises a sealed member that can be controllably inflatable and deflatable from a pressure source.45. The system of claim 44 , further comprising a pump configured to control a level of pressure within the sealed member.46. The ...

APPARATUSES AND METHODS FOR WOUND THERAPY

Some arrangements disclosed herein relate to devices and methods for treating a wound, comprising applying negative pressure to the wound through a cover applied over a wound, monitoring the internal pressure to the wound, and controlling the closure of the wound by controlling the amount that a wound packing material positioned under the cover collapses within the wound based on the monitored internal pressure. The wound packing material collapse can be controlled to ensure that the monitored internal pressure does not exceed a threshold value. Additionally, some embodiments or arrangements disclosed herein relate to a visualization element to visualize a location of a wound surface. The visualization element can comprise a radiopaque member that is configured to be positioned on or adjacent to a surface of an open wound. 141.-. (canceled)42. An apparatus for providing negative pressure wound therapy to a wound , comprising:a wound packing member or wound filler that has an adjustable volume;a backing layer for providing a substantially air and liquid-tight seal over the wound when the wound packing member or wound filler is positioned in the wound;a source of negative pressure for providing negative pressure to a space beneath the backing layer;a first pressure sensor for measuring internal abdominal pressure, wherein closure of the wound can be controlled by controlling the amount that the wound packing member or wound filler collapses based on the measured internal abdominal pressure; anda second pressure sensor for detecting pressure beneath the backing layer.43. The apparatus of claim 42 , wherein the wound packing member or wound filler comprises a sealed member that can be controllably inflatable and deflatable from a pressure source.44. The apparatus of claim 42 , further comprising an organ protection layer configured to be positioned between the wound packing member or wound filler and the viscera or other organs.45. The apparatus of claim 43 , further ...

APPARATUS AND METHOD TO SECURE TURBINATE TO NASAL SEPTUM

A method of securing a turbinate to a nasal septum includes positioning an instrument in a nostril. The turbinate and nasal septum are pierced. The instrument is used to urge a barbed suture through the pierced turbinate and nasal septum. The turbinate is medialized against the nasal septum by urging the turbinate against the septum. The barbed suture holds the turbinate in a medialized state against the nasal septum. 1. A method of securing a turbinate to a nasal septum , the method comprising:(a) positioning an instrument in a nostril;(b) piercing the turbinate and nasal septum;(c) using the instrument to urge a barbed suture through the pierced turbinate and nasal septum; and(d) medializing the turbinate against the nasal septum by urging the turbinate against the nasal septum;wherein the barbed suture holds the turbinate in a medialized state against the nasal septum.2. The method of claim 1 , wherein the barbed suture comprises:(i) at least one barb, and(ii) an anchor, wherein the at least one barb is configured to prevent movement of the barbed suture in a lateral direction relative to the septum, wherein the anchor is operable to restrict movement of the barbed suture in a medial direction relative to the septum.3. The method of claim 2 , wherein the act of medializing the turbinate against the nasal septum comprises driving the anchor medially against the turbinate in response to the act of pulling the barbed suture through the pierced turbinate.4. The method of claim 1 , wherein the act of piercing the turbinate and nasal septum comprises pushing a needle through the turbinate and nasal septum.5. The method of claim 4 , wherein the act of using the instrument to urge the barbed suture through the pierced turbinate and nasal septum comprises pulling the needle.6. The method of claim 1 , wherein the barbed suture comprises:(i) an anchor, and(ii) a slip knot operably coupled to the anchor, wherein the anchor is responsive to the slip knot.7. The method of ...

DURAL SEALING SYSTEM

The present invention refers to a dural sealing system () comprising an implant (), joined to a guiding thread (); a transfer device (), provided with a grip portion () and a hollow portion (), said hollow portion () terminating, at a first end, in a nozzle () that can be coupled to an epidural needle (), said hollow portion () also terminating in a second end fitted with an entry region (); and an introductory device () comprising a tube () with a hollow interior section, provided with a first free end and a second closed end, attached to a stop (). 1100. A dural sealing system () comprising:{'b': 10', '20', '1, 'An implant () joined to a guiding thread () of diameter D;'}{'b': 30', '30', '30', '2', '30', '30', '200', '3', '30', '30, 'i': a', 'b', 'b', 'c', 'b', 'd, 'A transfer device () provided with a grip portion () and a portion () of hollow longitudinal section of diameter D, said hollow portion () terminating, at a first end, in a nozzle () that can be coupled to an epidural needle () of internal diameter D, said hollow portion () also terminating in a second end provided with an entry region (); and'}{'b': 70', '70', '5', '3', '70', '4', '1', '70, 'i': a', 'a', 'b, 'An introductory device () comprising a tube () of diameter D, less than D, the tube () having an interior hollow section of diameter D, greater than D, and being provided with a first free end and a second end attached to a stop ().'}210070702003030ab. The dural sealing system () according to claim 1 , characterized in that the length of the tube () of the introductory device () is equal to claim 1 , or between 1 and 2 mm greater than claim 1 , the sum of the lengths of the epidural needle () and the portion () of hollow longitudinal section of the transfer device ().3100309070. The dural sealing system () according to claim 1 , characterized in that the transfer device () also comprises means for blocking () the introductory device ().4100308030b. The dural sealing system () according to claim 1 ...

Systems and methods to decrease intrauterine device expulsion and perforation

System and methods for inserting and securing an intrauterine device.

Coated looped suture

A suture including a reinforced loop is described herein. The suture includes an elongate body including a proximal section and a distal section, wherein the distal section includes first and second overlapping sections and a loop. A polymeric coating is positioned on at least a portion of the distal section to reinforce the loop.

Soft tissue repair

Methods and instruments for repairing soft tissues of a skeletal joint such as for example of the foot or hand are presented.

Looped Tissue Fixation Device

A tissue fixation device includes a barbed body in a general figure eight configuration including a first loop intersecting a second loop. The barbed body may include a third loop at a proximal end thereof, and/or a pledget at a distal end thereof. The configuration of the tissue fixation device may vary depending upon the performance requirements desired of the tissue fixation device for the envisaged application of use. 1. A tissue fixation device comprising a barbed body in a general figure eight configuration including a first loop intersecting a second loop.2. The tissue fixation device of claim 1 , wherein the barbs are compound barbs.3. The tissue fixation device of claim 1 , wherein the body is a continuous filament twisted at an intersection point between the first and second loops.4. The tissue fixation device of claim 1 , wherein the body is fused at an intersection point between the first and second loops.5. The tissue fixation device of claim 1 , further comprising a third loop.6. The tissue fixation device of claim 5 , wherein the third loop is free of barbs.7. The tissue fixation device of claim 1 , further comprising a pledget disposed at a distal end of the body.8. The tissue fixation device of claim 7 , wherein the pledget includes a biocompatible coating.9. The tissue fixation device of claim 8 , wherein the coating is anti-adhesive.10. The tissue fixation device of claim 7 , wherein the pledget includes a proximal surface and a distal surface claim 7 , the proximal surface including at least one dart extending proximally therefrom.11. The tissue fixation device of claim 10 , wherein the dart terminates in a sharp tip.12. The tissue fixation device of claim 7 , wherein the pledget includes surface reactive functional groups.13. The tissue fixation device of claim 7 , wherein the pledget is magnetic.14. The tissue fixation device of claim 7 , wherein the pledget is secured to a distal terminal end of the body.15. The tissue fixation device of claim ...

LENGTH OF SELF-RETAINING SUTURE AND METHOD AND DEVICE FOR USING THE SAME

A method and device for anchoring a length of self-retaining suture. The method of anchoring includes providing for an assembly having a length of self-retaining suture and a suture insertion device. The length of suture includes at least a portion of the length having a plurality of retainers thereon extending in a first direction. The insertion device has a length and a recess to receive a portion of the suture length. The method further includes placing a portion of the suture length in the recess and inserting the device into the body of a mammal until the recess reaches a predetermined location thereby forming an insertion pathway. The method further includes retrieving the insertion device from the body by moving the insertion device in a direction substantially opposed to the insertion pathway. 1164-. (canceled)165. A self-retaining suture comprising: (i) a first portion that includes a first plurality of retainers projecting peripherally from the first portion along at least a portion thereof in a first direction,', '(ii) a second portion that includes a second plurality of retainers projecting peripherally from the second portion along at least a portion thereof in a second direction opposite to the first direction, and', '(iii) a first intermediate portion disposed between the first and second portions, where the first and second pluralities of retainers face the first intermediate portion; and, '(a) a first body section comprising (i) a third portion that includes a third plurality of retainers projecting peripherally from the third portion along at least a portion thereof in the second direction,', '(ii) a fourth portion that includes a fourth plurality of retainers projecting peripherally from the fourth portion along at least a portion thereof in the first direction, and', '(iii) a second intermediate portion disposed between the third and fourth portions, wherein the third and fourth pluralities of retainers face the second intermediate portion., '(b) ...

SELF-RETAINING SYSTEM HAVING LASER-CUT RETAINERS

Self-retaining suture systems including a suture thread bearing a plurality of laser-cut retainers are disclosed. A laser system allows the creation of retainers and self-retaining suture systems in configurations which are difficult and/or impossible to achieve using mechanical cutting technology. 117-. (canceled)18. A self-retaining suture thread , comprising:(a) a thread surface extending along a longitudinal axis; (i) a first slot segment defining a closed end of the slot,', '(ii) a second slot segment extending away from the first slot segment and opening to the thread surface, wherein the second slot segment is acutely angled relative to the first slot segment,', '(iii) an inner slot side extending along the first and second slot segments, and', '(iv) an outer slot side extending along at least the first slot segment, wherein the outer slot side is parallel to the inner slot side along at least a portion of the first slot segment; and, '(b) a plurality of slots formed in the thread surface and spaced apart along the longitudinal axis, wherein each slot includes(c) a plurality of tissue retainers spaced apart longitudinally along the longitudinal axis, wherein each of the tissue retainers is defined at least in part by a respective one of the slots.19. The self-retaining suture thread of claim 18 , wherein the outer slot side of each slot defines an underside of a respective one of the tissue retainers.20. The self-retaining suture thread of claim 18 , wherein the first slot segment is oriented at a first acute angle relative to the longitudinal axis claim 18 , wherein the second slot segment is oriented at a second acute angle relative to the longitudinal axis claim 18 , wherein the second acute angle is different than the first acute angle.21. The self-retaining suture thread of claim 18 , wherein the outer slot side extends along at least a portion of the second slot segment.22. The self-retaining suture thread of claim 18 , wherein the first slot segment is ...

FLEXIBLE CONSTRUCTS

A flexible construct according to an exemplary aspect of the present disclosure includes, inter alia, a sheath and a suture connected to the sheath to form an adjustable loop. The suture includes a plurality of barbs that permit movement of the suture in a first direction relative to the sheath and restrict movement in a second direction relative to the sheath. 1. A tissue closure assembly , comprising:a sheath; anda suture connected to the sheath to form an adjustable loop, the suture having a plurality of barbs that permit movement of the suture in a first direction relative to the sheath and restrict movement in a second direction relative to the sheath.2. The tissue closure assembly of claim 1 , wherein the sheath includes a first sheath end and a second sheath end.3. The tissue closure assembly of claim 2 , wherein the suture includes a first suture end claim 2 , a second suture end claim 2 , and the first suture end is attached to the first sheath end.4. The tissue closure assembly of claim 3 , wherein the plurality of barbs is directed towards the first suture end.5. The tissue closure assembly of claim 3 , wherein the first suture end is fixedly received within the sheath at the first sheath end.6. The tissue closure assembly of claim 5 , wherein the suture is fixedly attached to the sheath with an adhesive.7. The tissue closure assembly of claim 3 , wherein the second suture end is received in the second sheath end.8. The tissue closure assembly of comprising an exit hole located in the sheath between the first sheath end and the second sheath end.9. The tissue closure assembly of claim 8 , wherein the second end of the suture is configured to be received within the exit hole.10. The tissue closure assembly of claim 1 , wherein the sheath is tubular in shape and is made of a fibrous material.11. A method claim 1 , comprising:attaching a first piece of tissue to a second piece of tissue via a flexible construct including a sheath and a barbed suture having a ...

SUTURE TAPE CONSTRUCT FOR PROVIDING ANCHOR WITH NON-SLIDING SUTURE TAPE

A suture tape construct having a first section formed from a fibrous filament that extends from a first end to a second end and has a pair of a one-way protrusions extending therefrom. An anchor is positioned along the suture construct and, when the construct is deployed, is captured between the protrusions. The anchor may be a second section formed from braided suture material that is woven about the first section. The braided suture material can be deployed to form an all suture anchor while protrusions extending from the suture anchor proximately to the location of the deployed suture anchor prevent movement of the second section relative to the first section, thus forming a non-sliding suture tape anchored by the deployed braided material. The anchor may be a threaded anchor having an eyelet that is captured between the protrusions. 1. A fibrous filament and anchor construct , comprising:a first section of fibrous filament extending from a first end to a second end;a pair of protrusions extending from intermediate portions of the first section and spaced apart from each other;a second section comprising an anchor comprising a proximal portion and a distal portion, the anchor being moveable from an un-deployed position and configuration to a deployed position and configuration, wherein the proximal portion is configured to be captured between the pair of protrusions and the distal portion is configured to be fixed in a bone hole in the deployed position and configuration.2. The construct of claim 1 , wherein the fibrous filament is suture tape.3. The construct of claim 1 , wherein the distal portion of the anchor is threaded.4. The construct of claim 1 , wherein the proximal portion of the anchor is an eyelet.5. The construct of claim 1 , wherein the protrusions comprise segments of suture woven into the fibrous filament of the first section and extending therefrom at an angle that only allows passage of the second section in one direction.6. The construct of ...

EIGHT-DIMENSIONAL BARBED SURGICAL THREAD

An eight-dimensional barbed surgical thread including a central core and eight first barbs. The central core has a circumference, a proximal end and a distal end that is opposite the proximal end. The eight first barbs are positioned around the circumference of the central core so that the first barbs are radially adjacent to each other and obliquely extend from the central core. 1. An eight-dimensional barbed surgical thread comprising:a central core having a circumference, a proximal end and a distal end that is opposite the proximal end; andeight first barbs positioned around the circumference of the central core so that the first barbs are radially adjacent to each other and obliquely extend from the central core.2. The eight-dimensional barbed surgical thread of claim 1 , and further comprising:eight second barbs positioned around the circumference of the central core, wherein the eight second barbs are closer to the proximal end than the eight first barbs, wherein each of the eight second barbs has a distal end and a proximal end, wherein the distal end of one of the second barbs is closer to the distal end of the central core than the proximal end of the one of the second barbs, wherein each of the eight first barbs has a distal end and a proximal end and wherein the distal end of one of the first barbs is closer to the proximal end of the central core than the proximal end of the one of the second barbs.3. The eight-dimensional barbed surgical thread of claim 2 , wherein the eight first barbs occupy about ⅔ of a length of the eight-dimensional barbed surgical thread and wherein the eight second barbs occupy about ⅓ of the length of the eight-dimensional barbed surgical thread.4. The eight-dimensional barbed surgical thread of claim 1 , wherein each of the eight first barbs has a proximal end and a distal end and wherein adjacent barbs in the eight first barbs are offset in a direction extending between the proximal end and the distal end of the central core ...

SIX-DIMENSIONAL BARBED SURGICAL THREAD

A six-dimensional barbed surgical thread that includes a central core and six first barbs. The central core has a circumference, a proximal end and a distal end that is opposite the proximal end. The six first barbs are positioned around the circumference of the central core so that the first barbs are radially adjacent to each other and obliquely extend from the central core. 1. A six-dimensional barbed surgical thread comprising:a central core having a circumference, a proximal end and a distal end that is opposite the proximal end; andsix first barbs positioned around the circumference of the central core so that the first barbs are radially adjacent to each other and obliquely extend from the central core.2. The six-dimensional barbed surgical thread of claim 1 , and further comprising:six second barbs positioned around the circumference of the central core, wherein the six second barbs are closer to the proximal end than the six first barbs, wherein each of the six second barbs has a distal end and a proximal end, wherein the distal end of one of the second barbs is closer to the distal end of the central core than the proximal end of the one of the second barbs, wherein each of the six first barbs has a distal end and a proximal end and wherein the distal end of one of the first barbs is closer to the proximal end of the central core than the proximal end of the one of the second barbs.3. The six-dimensional barbed surgical thread of claim 2 , wherein the six first barbs occupy about ⅔ of a length of the six-dimensional barbed surgical thread and wherein the six second barbs occupy about ⅓ of the length of the six-dimensional barbed surgical thread.4. The six-dimensional barbed surgical thread of claim 1 , wherein each of the six first barbs has a proximal end and a distal end and wherein adjacent barbs in the six first barbs are offset in a direction extending between the proximal end and the distal end of the central core so that the distal end of one of the ...

Tissue Fixation Device

A tissue fixation device includes an elongated body defining a longitudinal axis and including a proximal end and a distal end. At least two barbed segments diverge distally away from the distal end of the elongated body and a pledget is disposed at distal ends of the barbed segments. The elongated body, barbed segments, and pledget are provided in a variety of configurations depending upon the performance requirements desired of the tissue fixation device for the envisaged application of use. 1. A tissue fixation device comprising:an elongated body defining a longitudinal axis and including a proximal end and a distal end;at least two barbed segments diverging distally away from the distal end of the elongated body; anda pledget disposed at distal ends of the barbed segments.2. The tissue fixation device of claim 1 , wherein the pledget includes a plurality of openings claim 1 , and wherein each of the distal ends of the barbed segments extend through one of the openings.3. The tissue fixation device of claim 1 , wherein the proximal end of the elongated body includes a loop.4. The tissue fixation device of claim 3 , wherein the loop is free of barbs.5. The tissue fixation device of claim 1 , wherein the proximal end includes a cap.6. The tissue fixation device of claim 5 , wherein the cap is magnetic.7. The tissue fixation device of claim 5 , wherein a ring extends from a proximal end of the cap.8. The tissue fixation device of claim 1 , wherein the pledget includes a proximal surface and a distal surface claim 1 , the proximal surface including at least one dart extending proximally therefrom.9. The tissue fixation device of claim 8 , wherein the dart terminates in a sharp tip.10. The tissue fixation device of claim 1 , wherein the pledget includes surface reactive functional groups.11. The tissue fixation device of claim 1 , wherein the pledget is magnetic.12. The tissue fixation device of claim 1 , wherein the elongated body is a monofilament structure.13. The ...

Concentric barbed suture

A barbed suture and a method of forming a barbed suture are disclosed. The barbed suture includes a core fiber and a sheet, which can be monolithic or formed from a plurality of longitudinally extending fibers, which is placed around the core fiber.

WOUND CLOSURE DEVICE

A wound closure device, in particular a surgical suture, includes an elongated body and projections protruding from the elongated body. Each of the projections is in the shape of a fin-like angular anchoring element having a lower base part with a base length, an upper top part, and a height. The anchoring elements are arranged in a longitudinal direction along the length of the elongated body in at least two rows with a distance between any two anchoring elements in any row. Each anchoring element in a row is aligned relative to an anchoring element of any other row, and each section of the elongated body between two successive anchoring elements in a row has the same tapered shape in the longitudinal direction, with a steady change or an essentially steady change in the cross-sectional area of the elongated body. 1. A wound closure device comprising:an elongated body having a longitudinal axis, a length and a cross-sectional area with a diameter; anda plurality of projections protruding from said elongated body,whereinthe plurality of projections comprising a first row of first anchoring elements arranged in a longitudinal direction of the elongated body and uniformly spaced along the length of the elongated body,the plurality of projections further comprising a second row of second anchoring elements arranged in the longitudinal direction and uniformly spaced along the length of the elongated body,each of the first anchoring elements and the second anchoring elements having a lower base part with a base length, an upper top part and a height,each of the first anchoring elements in the first row being aligned diametrically with one of the second anchoring elements in the second row,each of the first anchoring elements in the first row being separated from an adjacent one of said first anchoring elements in the first row by a section of the elongated body and by a spacing,each section of the elongated body having an identically tapered shape in the longitudinal ...

STEERABLE LESION EXCLUDING HEART IMPLANTS FOR CONGESTIVE HEART FAILURE

Devices, systems, and methods for treating a heart of a patient may make use of one or more implant structures which limit a size of a chamber of the heart, such as by deploying a tensile member to bring a wall of the heart toward (optionally into contact with) a septum of the heart. 120.-. (canceled)21. A method for treating a heart , the heart having a first chamber bordered by a septum and a wall , wherein the chamber comprises a left ventricle of the heart , the heart having a second chamber separated from the first chamber by the septum , the method comprising:providing a perforation device having a distal tip that is configured to deliver electrosurgical energy to heart tissue to enable the perforation device to penetrate through the heart tissue;penetrating, via the perforation device, the septum at a first location selected for deployment of an implant;penetrating, via the perforation device, the wall at a second location selected for the deployment of the implant;controllably steering the perforation device between the first location and the second location; anddeploying the implant by affixing a first anchor of the implant adjacent the penetration of the septum, affixing a second anchor of the implant adjacent the penetration of the wall, and applying tension between the first anchor and the second anchor;wherein the tensioned members are tensioned sufficiently to bring the wall and septum into engagement, and thereby effectively exclude a region of the wall and septum from the left ventricle with scar tissue extending along the excluded region.22. The method of claim 21 , further comprising sensing a pressure from a distal end of the perforation device advancing through the heart tissue at the first and/or second locations so as to characterize the tissue.23. The method of claim 21 , further comprising penetrating the wall at a plurality of additional locations claim 21 , wherein a plurality of separate implants are deployed claim 21 , each deployed ...

LAPAROSCOPIC SUTURING SYSTEM

A laparoscopic suturing device is provided. The suturing device can pass a suturing needle back and forth between jaws of a jaw assembly to suture tissue at a surgical site in a minimally invasive procedure. The jaw assembly can have a pivotable jaw member in each jaw to position the jaw assembly and needle in a low-profile stowed configuration for insertion through a low diameter surgical port. The jaw assembly can be actuated by a handle assembly that provides simultaneous needle passing from a driving jaw to a receiving jaw and latching the needle within the receiving jaw in a single trigger cycle. 1. A laparoscopic suturing device comprising:a handle assembly having a proximal end and a distal end;an elongate shaft extending distally from the distal end of the handle assembly and defining a central longitudinal axis;a jaw assembly extending distally from the elongate shaft, the jaw assembly comprising a first jaw and a second jaw each having a proximal end pivotably coupled to the elongate shaft and a distal end; anda needle; andwherein the jaw assembly and the needle are selectively positionable between a stowed configuration in which the needle is positioned in one of the first jaw and the second jaw and the first jaw, the second jaw, and the needle are generally aligned with the central longitudinal axis and an open configuration in which the first jaw, the second jaw, and the needle extend transversely to the central longitudinal axis.2. The laparoscopic suturing device of claim 1 , wherein the handle assembly comprises a latch mechanism operably coupled to the jaw assembly to selectively position the first jaw and the second jaw in the stowed configuration.3. The laparoscopic suturing device of claim 1 , wherein the first jaw comprises:a first base jaw at the proximal end of the first jaw; anda first flip jaw at the distal end of the first jaw and pivotably coupled to the first base jaw, and the first flip jaw pivotable relative to the first base jaw ...

Suturing device and methods of use thereof

A suturing device includes a hollow needle. The hollow needle has a length extending between a proximal end and a distal end and defining a lumen having an inner diameter. The suturing device further includes a length of surgical suture having a leading end and a trailing end and an outer diameter smaller than the inner diameter of the lumen. At least a portion of the surgical suture is located within the lumen of the hollow needle. A surgical kit including the suturing device and methods of using the suturing device of the present invention are also disclosed.

Apparatus And Method For Securing Tissue

An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a bone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance.

Apparatus and method for lifting or restraining a body part

The disclosure is generally directed to assemblies and methods that include (1) strips or cords of material configured to lift, restrain, or hold whole body organs (e.g., of a human patient) or parts of body organs in desired positions via tissue anchors (e.g., barbs, hooks, or cones), (2) an introducer device that facilitates the introduction of such strips or cords into a patient, and (3) the process of inserting such strips or cords of material into a patient (e.g., using an introducer device).

SURGICAL FASTENING DEVICE

Devices and methods for delivering surgical fasteners to a controlled, specific depth in tissue and locking the fasteners closed to provide a secure and reliable attachment. Devices includes a body with a handle with a trigger extending therefrom; a shaft extending from the body; a delivery tip at a distal end of the shaft; a driver member disposed within the shaft; and a fastener with no points, barbs, or sharp edges held at the delivery tip. The fastener is inserted into a fixed depth and locks into a closed loop. 143-. (canceled)44. A surgical fastening device comprising:a shaft comprising a proximal portion and a distal end;a delivery tip at the distal end of the shaft;a fastener held at the delivery tip, the fastener having an extended body with a receiving end and an opposite end; anda driver member disposed within the shaft, having a sharp tip adapted to penetrate a tissue, and a hook; extend to engage the receiving end of the fastener with the hook, enclosing the receiving end between the sharp tip and the hook, and', 'move the receiving end of the fastener out of the delivery tip, along a curved path toward a distal end of the delivery tip., 'wherein the driver member is operable to45. The surgical fastening device of claim 44 , wherein the receiving end comprises a loop claim 44 , and the hook engages with the receiving end by insertion into the loop.46. The surgical fastening device of claim 45 , wherein the sharp tip remains outside of the loop when the receiving end is enclosed between the sharp tip and the hook.47. The surgical fastening device of claim 44 , comprising an internal driver within the delivery tip claim 44 , configured to promote the opposite end of the fastener toward the distal end of the delivery tip where it is received by the opposite end of the fastener.48. The surgical fastening device of claim 44 , wherein the driver member holds the receiving end in a portion of the distal end of the delivery tip shaped as a bowl while the ...

SUTURE FOR SOFT TISSUE REPAIR

A system for repairing a soft tissue includes a first suture anchor, a suture and a second suture anchor. The first suture anchor is disposed at a first location on a bone. The suture is defined by a first end and a second end. The second suture anchor disposed at a second location on the bone. The suture is passed through the first suture anchor and the second suture anchor to form a medial row and a lateral row to repair the soft tissue. 1. A system for repairing a soft tissue comprising:a first suture anchor configured to be disposed at a first location on a bone;a suture defined by a first end and a second end; anda second suture anchor configured to be disposed at a second location on the bone,wherein the suture is passed through the first suture anchor and the second suture anchor to form a medial row configured to pass through the soft tissue from a bottom surface of the soft tissue to a top surface of the soft tissue and a lateral row configured to lay across the top surface of the soft tissue.2. The system of claim 1 , wherein the suture comprises:a first region proximate to the first end of the suture;a second region; anda third region proximate to the second end of the suture;wherein the first end of the suture is configured to be passed through the second region of the suture.3. (canceled)4. The system of claim 2 , wherein the suture is an asymmetric suture claim 2 , the asymmetric suture defined claim 2 , at least in part claim 2 , by:the first region having a first width;the second region having a second width; andthe third region having a third width, andwherein the second width is greater than the first and the third widths.5. The system of claim 1 , wherein the second suture anchor comprises an anchor body and an anchor plug claim 1 , the anchor body comprising a transverse bore claim 1 , an outer surface having threads along a circumference of the suture anchor and grooves along a length of the suture anchor and an inner surface having threads ...

COMPOSITE SURGICAL SUTURE MATERIAL BASED ON POLYFILAMENTOUS TITANIUM THREAD AND BIORESORBABLE POLYMERS

In the field of medicine and medical technology, improving the technical properties of the surgical suture material. Composite surgical suture material includes titanium monothreads combined in a polyfilament thread, wherein a bioresorbable polymer material is present in the gaps between the monothreads and on their surface, and the monothreads have a relief surface. The technical result increases the strength, elasticity and plasticity of the suture material, the absence of a “sawing” effect on tissues, an increase in the sliding friction coefficient, and also in ensuring capability of carrying antibacterial and other medicinal substances in its structure, in ensuring a long-term presence in the body and possessing a high biological inertness in the late postoperative period, which excludes the initiation and persistence of aseptic inflammation associated with the presence of the material in the body. 1. A composite surgical suture material comprising titanium monothreads combined in a polyfilament thread , wherein a bioresorbable polymer material is present in gaps between the monothreads and on their surface , and wherein the monothreads have a relief surface.2. The composite surgical suture material according to claim 1 , wherein the monothreads are made of GRADE-5 titanium alloy.3. The composite surgical suture material according to claim 1 , wherein the relief surface of the monothread is obtained by chemical etching.4. The composite surgical suture material according to claim 1 , wherein the bioresorbable polymer material is a polymer from the group of polylactic acid claim 1 , silk fibroin claim 1 , and polyhydroxybutyrate.5. The composite surgical suture material according to claim 1 , wherein the polyfilament thread is made with a diameter of 0.04 mm to 2 mm.6. The composite surgical suture material according to claim 1 , wherein the polyfilament suture is made in the form of a tape 0.2-1 mm thick and 3-5 mm wide.7. The composite surgical suture material ...

VAGINAL VAULT SUSPENSION SYSTEM AND METHOD

Repair implant systems for treating pelvic prolapse including vaginal vault suspension devices and methods are provided. Embodiments of the system can include one or more eyelet and/or locking eyelet devices and one or more spanning members, e.g., suture members, attached thereto. Ends of the suture members are attached to the vaginal vault. An extension member can be provided with a corresponding anchor, with the extension member adjustably engaged with an eyelet to provide the desired vault suspension. 1. A prolapse repair system , comprising:an eyelet portion;first and second flexible spanning members extending from the eyelet portion, at least one of the first and second flexible spanning members including a loop portion distal the eyelet portion, wherein the loop portion is operatively engageable with vaginal vault tissue; andan extension arm having at least a mesh portion and a tissue anchor, the extension arm adjustably engageable with the eyelet portion, and the tissue anchor engageable with tissue a distance away from the vaginal vault tissue.2. The system of claim 1 , wherein the eyelet portion is a locking eyelet having a plurality of inward radiating teeth.3. The system of claim 1 , further including a locking eyelet adjustably engageable with the extension arm.4. The system of claim 1 , wherein the first and second flexible spanning members are suture members.5. The system of claim 4 , wherein the suture members are constructed at least in part of a prolene material.6. The system of claim 1 , wherein the extension arm further includes a polymer rod portion extending from the mesh portion and slidable within the eyelet portion.7. The system of claim 1 , wherein each of the first and second flexible spanning members include a loop portion.8. The system of claim 7 , wherein the loop portions of the first and second flexible extension members are engageable with the vaginal vault tissue via sutures.9. The system of claim 1 , further including an introducer ...

SURGICAL SUTURE MATERIAL WITH BARBS CUT INTO IT IN THE UNDRAWN STATE

A surgical suture material includes a drawn elongate main body and barbs adapted to anchor in human and/or animal tissues, wherein the barbs are partially in drawn form. 1. A surgical suture material comprising a drawn elongate main body and barbs adapted to anchor in human and/or animal tissues , wherein the barbs are partially in drawn form.2. The drawn surgical suture material according to claim 1 , wherein the main body has cut surfaces extending in a longitudinal direction of the suture material.3. The drawn surgical suture material according to claim 2 , wherein the cut surfaces are substantially planar.4. The drawn surgical suture material according to claim 1 , wherein the main body has cut surfaces extending in a longitudinal direction of the suture material and are longer than cut surfaces of undersides of the barbs.5. The drawn surgical suture material according to claim 1 , wherein the main body has cut surfaces extending in a longitudinal direction of the suture material and whose length corresponds to at least 1.1 times the length of cut surfaces of undersides of the barbs.6. The drawn surgical suture material according to claim 1 , wherein the barbs have an apex angle α of 10 to 70 degrees.7. The drawn surgical suture material according to claim 1 , wherein the barbs protrude from the main body.8. The drawn surgical suture material according to claim 1 , wherein the barbs have a righting angle β of 35 to 75 degrees measured from a cut surface of an underside of the barb to a cut surface of the main body.9. The drawn surgical suture material according to claim 1 , wherein the suture material has a cut surface angle γ of 160 to 178 degrees measured from a cut surface of the main body to an uncut outer surface of the main body.10. The drawn surgical suture material according to claim 1 , wherein the barbs have a strengthened back.11. The drawn surgical suture material according to claim 1 , wherein the barbs have a back with a material strengthening in ...

LENGTH OF SELF-RETAINING SUTURE AND METHOD AND DEVICE FOR USING THE SAME

A method and device for anchoring a length of self-retaining suture. The method of anchoring includes providing for an assembly having a length of self-retaining suture and a suture insertion device. The length of suture includes at least a portion of the length having a plurality of retainers thereon extending in a first direction. The insertion device has a length and a recess to receive a portion of the suture length. The method further includes placing a portion of the suture length in the recess and inserting the device into the body of a mammal until the recess reaches a predetermined location thereby forming an insertion pathway. The method further includes retrieving the insertion device from the body by moving the insertion device in a direction substantially opposed to the insertion pathway. 1164.-. (canceled)165. An apparatus comprising: (i) a proximal end configured to be gripped,', '(ii) a distal end configured to penetrate through tissue, and', '(iii) a recessed portion disposed proximate to the distal end; and, '(a) a suture insertion device comprising (i) a first portion having no retainers that is sized and configured to be carried by the recessed portion of the suture insertion device as the suture insertion device is advanced distally and separated from the recessed portion as the suture insertion device is withdrawn proximally, and', '(ii) a second portion that includes a first set of retainers, wherein the first set of retainers face a first direction away from the first portion., '(b) a suture comprising166. The apparatus of claim 165 , further comprising an attachment feature coupled with a terminal end of the second portion.167. The apparatus of claim 166 , wherein the attachment feature includes an enclosed attachment loop.168. The apparatus of claim 166 , wherein the attachment feature includes at least one of a tack claim 166 , a marker claim 166 , a therapeutic agent claim 166 , or a chemotherapeutic agent.169. The apparatus of claim 165 ...

MINIMALLY INVASIVE BREAST LIFT METHOD WITH A SUPERIOR TISSUE SUPPORT AND AN INFERIOR ANCHOR

Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast or another tissue is supported. One method involves introducing a superior soft tissue anchor into a patient, the anchor having an inferiorly facing total surface area; and introducing at least one inferior soft tissue anchor into the patient, such that the at least one inferior soft tissue anchor is suspended from the superior soft tissue anchor, the sum of all of the at least one inferior soft tissue anchors having a superiorly facing total surface area. The inferiorly facing total surface area of the superior anchor can be greater, such as at least two times greater than the superiorly facing total surface area of the at least one inferior anchor. 111-. (canceled)12. A system for performing a breast tissue lift , comprising:an elongate, flexible mesh sling having a first end and a second end and configured to be subcutaneously introduced along a generally medial-lateral axis of a patient's body, wherein medial generally refers to a direction closer to the midline of the patient's body with respect to a lateral location;a first suspension line carrying a first inferior soft tissue anchor and having a first superior free end, wherein superior generally refers to a direction that is relatively cephalad or towards the patient's head while inferior refers to a direction that is relatively caudal or towards the patient's feet;a second suspension line carrying a second inferior soft tissue anchor and having a second superior free end, anda needle for introducing the sling subcutaneously, the needle comprising an arc of greater than about 180 degrees,wherein the first superior free end is configured to be connected to the first end of the sling,wherein the second superior free end is configured to be connected to the second end of the sling, andwherein the elongate, flexible mesh sling is configured to be positioned superiorly to the tissue to ...

DEVICES AND METHODS FOR SUTURING

The present disclosure generally relates to medical devices including sutures and methods of use thereof. The medical device may include a suture having projections angled with respect to a longitudinal axis of the suture and a needle coupled to the suture for inserting the suture into tissue, wherein the projections may allow movement of the suture in a first direction and prevent movement in a second direction. The suture may include an anchor at a distal end such that once the needle is removed, the suture may be pulled in a proximal direction to engage the anchor with an inner tissue wall to tighten and secure the suture within the tissue. 1. A method of performing a medical procedure , the method comprising:inserting a suture into an abdomen and through a wall of a stomach, the suture having a longitudinal axis and including a plurality of projections along a length of the suture and angled in a first direction with respect to the longitudinal axis, the suture including an anchor at a distal end of the suture such that the anchor is located inside the stomach; andmoving the suture in a proximal direction to engage the anchor with the wall of the stomach, the plurality of projections allowing movement of the suture in the proximal direction and preventing movement in an opposite, distal direction;wherein moving the suture in the proximal direction shortens a length of the suture extending from an interior surface of the wall of the stomach to an exterior surface of a wall of the abdomen.2. The method of claim 1 , wherein inserting the suture includes inserting a needle coupled to the suture into the abdomen claim 1 , wherein the needle includes a lumen that receives the suture.3. The method of claim 2 , wherein the needle is coupled to a tube claim 2 , the tube including a lumen that receives the suture.4. The method of claim 2 , further comprising removing the needle before moving the suture in the proximal direction.5. The method of claim 1 , wherein the ...

SYSTEM AND METHOD FOR SECURING AN IMPLANT TO TISSUE

A system and method for securing a medical implant within a patient. The method comprises disposing an anchor element around the implant, the anchor element including a pair of tabs each including an eyelet, and a flexible intermediate portion between the tabs, wherein disposing the anchor element around the implant includes positioning the implant within the intermediate portion and folding the anchor element such that the tabs contact one another and the eyelets aligned. The anchor element is positioned at a desired implantation position with the tabs positioned proximate soft tissue of the patient. The method further comprises inserting a distal tip of a fixation element delivery tool through the eyelets and into the soft tissue, the fixation element including at least one tissue anchor and an adjustable suture arrangement coupled to the tissue anchor. The at least one tissue anchor is deployed from the delivery tool and into the soft tissue of the patient. The delivery tool is withdrawn from the soft tissue and the eyelets of the anchor element, and the adjustable suture arrangement is tightened to secure the anchor element against the soft tissue. 1. A method of securing a catheter or electrode lead within a patient , the method comprising:positioning an anchor at a desired implantation position proximate soft tissue of the patient, wherein a portion of a catheter or electrode lead is disposed within the anchor;inserting a distal tip of a delivery tool through a portion of the anchor and into the soft tissue;deploying at least one tissue anchor from the delivery tool and into the soft tissue of the patient, wherein an adjustable suture arrangement is coupled to the at least one tissue anchor;withdrawing the delivery tool from the soft tissue and the portion of the anchor; andtightening the adjustable suture arrangement to secure the anchor against the soft tissue.2. The method of claim 1 , wherein the anchor comprises at least one tab.3. The method of claim 2 , ...

Kit for Placing Fixation Devices

The invention disclosed herein includes an apparatus for treatment of prolapse in a pelvic region of a patient, the apparatus comprising an implant member having anterior straps, mid-line straps, and posterior straps, sutures coupled to the implant to secure the implant to the pelvic region of the patient.

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland). 1. A method for treating prostatic tissue by inducing tissue remodeling with an implant delivery system , comprising:accessing an interventional site adjacent prostatic tissue with the delivery system;positioning at least a portion of a retaining member outside the prostatic capsule; andreducing blood flow to tissue within the prostatic capsule.2. The method of wherein the reducing step comprises maintaining compression on prostatic tissue.3. The method of further comprising inducing atrophy in prostatic tissue.4. The method of further comprising inducing necrosis in prostatic tissue.5. The method of wherein compression is maintained for at least one month.6. The method of wherein compression is maintained for at least three months.7. The method of wherein compression is maintained for at least six months.8. The method of wherein the retaining member is bioabsorbable.9. The method of further comprising determining the extent of compression of prostatic tissue.10. The method of wherein the extent of compression of prostatic tissue is determined by visual inspection of displacement of the prostatic urethra.11. A method for causing a therapeutic effect in prostatic tissue with an implant delivery system claim 9 , comprising:accessing an interventional site adjacent prostatic tissue with the delivery system;deploying at least a portion of an implant to an outer surface of the prostatic capsule;locally compressing prostatic tissue; andmaintaining compression of prostatic tissue via the implant ...

Suture securing systems, devices and methods

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.

A shaft-pushed fastenable suture

A shaft-pushed fastenable suture configured for suturing a first tissue with a second tissue and/or for ligation of blood vessels and/or hollow structured organs. The fastenable suture characterized by an elongated flexible cord with one or more teeth, protruding from same. The fastenable suture further comprises a male-head at the distal end and an accepting female-head at the proximal end. The male-head is in connection with an anchor. The anchor configured to be temporarily accommodated by a distal end of a pushing-shaft. The female-head comprises a suture accepting-channel and a neighboring pushing-shaft accepting-channel. At least one of the two accepting-channels comprising one or more flexible pawls for both allowing, by means of the teeth, a continuous linear forward motion of the male-head and the cord within the accepting-channel in only one direction, while preventing motion of the male-head and cord in a backward direction and allowing only the pushing-shaft a reversible reciprocal motion.

Endoscopic Stitching Devices

The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof. 1. (canceled)2. An endoscopic stitching device , comprising:a handle assembly;an elongate shaft supported by and extending from the handle assembly; and [ a knuckle formed on a first side thereof; and', 'a clevis formed on a second side thereof, wherein the knuckle of a first link of the plurality of links is operatively connected to the clevis of an adjacent link; and, 'a plurality of links in pivotable contact with one another, wherein each link of the plurality of links includes, 'at least one stiffener plate extending through at least a pair of the plurality of operatively connected links, wherein the at least one stiffener plate includes proximal and distal ends, wherein of the proximal and distal ends of the at least one stiffener plate only the distal end is affixed to one link of the plurality of links., 'an end effector supported on a distal end of the elongate shaft, the end effector including a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another, wherein each jaw of the pair of juxtaposed jaws defines a suture needle receiving recess formed in a tissue contacting surface thereof, wherein the neck assembly includes3. ...

Method for forming a barbed suture and the barbed suture thus obtained

The invention relates to a method for forming a barbed suture () comprising: 115-. (canceled)16. A barbed suture comprising an elongate body made of a yarn of a first biocompatibie material , provided with barbs extending substantially radially out from said elongate body , said barbs being monofilament cuts made of a second biocompatible material , where said monofilament cuts are stitched to said yarn forming said elongate body.17. The barbed suture of claim 16 , wherein the elongate body comprises a plurality of chain stitches formed from chain stitch yarns.18. The barbed suture of claim 17 , wherein the chain stitch yarns are monofilament yarns.19. The barbed suture of claim 17 , wherein the chain stitch yarns are multifilament yarns.20. The barbed suture of claim 19 , wherein the multifilament chain stitch yarns have a tensile strength ranging from about 25 cN/dTex to about 40 cN/dTex.21. The barbed suture of claim 17 , wherein at least one of the chain stitches is combined with a weft stitch of a weft yarn to form a weft stitched chain stitch along the elongate body.22. The barbed suture of claim 21 , wherein the chain stitch of the weft stitched chain stitch forms the elongate body and the monofilament cuts are formed from the weft stitch of the weft stitched chain stitch.23. The barbed suture of claim 21 , wherein the chain stitch yarns are polyethylene multifilament yarns having a tensile strength of about 35 cN/dTex and the weft yarns are polypropylene monofilaments.24. The barbed suture of claim 21 , wherein the weft stitched chain stitch is heat-set.25. The barbed suture of claim 21 , wherein the weft stitched chain stitch is twisted.26. The barbed suture of claim 21 , wherein the weft stitched chain stitch is stretched.27. The barbed suture of claim 16 , wherein the first biocompatible material and the second biocompatible material are each selected from the group consisting in polyethylene claim 16 , polypropylene claim 16 , polyester such as ...

Surgical end effectors

According to an aspect of the present disclosure, an end effector for use with a surgical device is provided. The end effector includes a driver, a clip assembly, a needle assembly, and biasing element. The clip assembly is disposed in mechanical cooperation with the driver. Rotation of the driver results in longitudinal translation of the clip assembly. The needle assembly is selectively engaged with the clip assembly. The biasing element is disposed in mechanical cooperation with the needle assembly and is configured to bias the needle assembly proximally.

SURGICAL END EFFECTORS

According to an aspect of the present disclosure, an end effector for use with a surgical device is provided. The end effector includes a drive assembly, a driver, a needle assembly, and a follower. The drive assembly includes a first helical groove. Rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly. The needle assembly is disposed in mechanical cooperation with the driver. Distal translation of the driver causes a corresponding distal translation of the needle assembly. The follower is configured to engage the first helical groove of the drive assembly. When the follower is engaged with the first helical groove, rotation of the drive assembly in the first direction causes distal translation of the follower with respect to the drive assembly. 1. An end effector for use with a surgical device , the end effector comprising:a drive assembly configured rotation about a longitudinal axis and including a first helical groove;a driver disposed in mechanical cooperation with the drive assembly, wherein rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly;a needle assembly disposed in mechanical cooperation with the driver, wherein distal translation of the driver causes a corresponding distal translation of the needle assembly; anda follower configured to engage the first helical groove of the drive assembly, wherein when the follower is engaged with the first helical groove, rotation of the drive assembly in the first direction causes distal translation of the follower with respect to the drive assembly.2. The end effector according to claim 1 , wherein the drive assembly includes a second helical groove claim 1 , the first helical groove encircling at least a portion of the drive assembly in a first direction claim 1 , the second helical groove encircling at least a portion of the drive assembly in a second direction claim ...

FILAMENTOUS TISSUE IMPLANT

A tissue fixation system including a delivery tube and an elongated fastener with a loop at a proximal end and a distal end. A proximal end of an elongated curved needle is attached to the delivery tube. A distal end of the needle is configured to penetrate tissue. The needle includes an open channel sized to receive the elongated fastener with the loop located near the proximal end of the elongated curved needle and the distal end of the elongated fastener located near the distal end of the elongated curved needle. A capture needle is slidably positioned in the delivery tube to slide through the loop in the proximal end of the elongated fastener. The capture needle is configured to grasp the distal end of the elongated fastener and pull the distal end of the elongated fastener through the loop to cinch the elongated fastener. 1. A method of engaging a tissue fixation system to two or more layers of material , the method comprising the steps of:coupling an elongated fastener to an elongated curved needle, the elongated curved needle comprising a proximal end attached to a delivery tube and a distal end configured to penetrate the two or more layers of material;inserting the distal end of the elongated curved needled and a portion of the elongated fastener through the two or more layers of material;advancing a capture needle through the delivery tube and through at least one loop in the elongated fastener;mechanically capturing the elongated fastener with the capture needle;retracting the capture needle through the deliver tube;pulling the elongated fastener through the loop to cinch the elongated fastener to the two or more layers of material; anddetaching the delivery tube and the elongated curved needle from the elongated fastener.2. The method of comprising positioning the elongated fastener at least partially in an open channel in the elongated curved needle with the loop located near the proximal end of the elongated curved needle.3. The method of comprising ...

ANCHORING DEVICE

An anchoring device having an elongate body at a proximal portion, a distal portion of the elongate body forming a loop at a distal portion of the anchoring device. The loop further includes a plurality of anchors disposed along a surface thereof and the loop also including an end effector. Methods for securing anchoring devices of the present disclosure are also disclosed. 19-. (canceled)10. A medical device comprising:an elongate body having a proximal portion and a distal portion, the proximal portion of the elongate body terminating in a free end;the distal portion of the elongate body forming a loop;the loop including a first plurality of anchors disposed along a surface of the loop; and,the loop further including at least one end effector.11. The medical device of claim 10 , wherein the end effector is selected from the group consisting of barb claim 10 , knot claim 10 , pledget claim 10 , and buttress.12. The medical device of claim 10 , wherein the end effector is a bulk of a material configured and dimensioned to limit movement of a distal segment of the loop in a proximal direction through tissue.13. The medical device of claim 10 , wherein the end effector is integral with the loop.14. The medical device of claim 10 , wherein the end effector is separate device which is secured to the loop.15. The medical device of claim 10 , wherein the end effector limits movement of at least a portion of the loop through tissue such that a segment of the loop remains outside a body tissue.16. The medical device of claim 10 , wherein the end effector engages tissue to prevent movement of the loop in a proximal direction.17. The medical device of claim 10 , further comprising a needle secured to a proximal portion of the elongate body.18. The medical device of claim 10 , wherein the two branches of the suture further include barbs on a surface thereof.19. The medical device of claim 18 , wherein the barbs secure the two branches in body tissue.20. A method for securing ...

ELASTOMERIC SUTURE

The disclosure is related to a suture that is configured to connect two or more tissue portions. The suture includes an elongate body. The elongate body can include a capture section extending along a longitudinal axis with a radial dimension sized to extend through an opening through tissue, and a proximal and distal capture elements protruding radially at the ends of the capture section. The capture elements can have a capture element radial dimension that is sufficiently larger than the filament radial dimension to prevent the capture elements from sliding into the opening to thereby capture the tissue therebetween on the capture filament section for suturing the tissue. 1. A suture , comprising:an elongated body made of an elastomeric material; anda surgical needle connected to the distal end of the elongate body and configured for piercing animal tissue.2. The suture of claim 1 , wherein the elongated body comprises:a filament extending along a longitudinal axis and having a filament radial dimension; anda protrusion protruding radially from the filament and being made of an elastomeric material selected such that axial tension causes the protrusion to narrow.3. A suture claim 1 , comprising: a filament extending along a longitudinal axis and having a filament radial dimension sized to extend through a tissue opening through animal tissue, and', 'a protrusion connected to the filament and protruding radially with respect thereto, the protrusion defining a longitudinal end of a capture filament section of the filament, which protrusion has a radial dimension that is sufficiently larger than the filament radial dimension and is made of an elastomeric material selected such that axial tension causes the protrusion to narrow to a narrowed radial dimension that is sufficiently reduced to allow the protrusion to be pulled through the opening to position the capture filament section to move into the tissue opening; and, 'an elongate body, includinga piercing element ...

METHOD FOR APPROXIMATING WOUNDS

A method for approximating a wound using a uni-directional, barbed wound closure device having a needle and a stop element. The method includes taking a first pass by entering intact tissue at a location in proximity to the first apex and exiting in intact tissue at a location away from and above said first apex, pulling the wound closure device until the stop element is seated above the tissue plane, moving back toward the first apex and taking at least a second pass in a direction substantially perpendicular to the first pass at a location above or adjacent to the first apex, moving in a direction toward the second apex, approximating the wound using a continuous suturing pattern, moving toward the first apex, taking at least two passes across the wound, and cutting off a free end of the wound closure device in proximity to a surface of the tissue. 1. A method for approximating a wound defined by first and second opposing edges joined at one end at a first apex and joined at an opposite end by a second apex , using a uni-directional , barbed wound closure device having a needle coupled to a proximal end and a stop element at a distal end , comprising:taking a first pass with said needle by entering intact tissue at a location in proximity to said first apex, and exiting in intact tissue at a location away from and above said first apex;pulling the wound closure device through the path defined by the first pass until the stop element is seated above the tissue plane;moving the needle in a direction back toward the first apex and taking at least a second pass in a direction substantially perpendicular to the first pass at a location above or adjacent to the first apex;moving in a direction toward the second apex, proceeding to approximate the wound using a continuous suturing pattern;moving in a direction toward the first apex, taking at least two passes across the wound; andcutting off a free end of the wound closure device in proximity to a surface of the tissue.2 ...

SUTURE THREAD

A suture thread is used to perform suturing without tying part of or the whole of knots that are supposed to be tied during suturing. A suture thread support body prevents an end of the suture thread from being pulled into a suturing site. A needle accommodation body has a shape of a tube having a through-hole through both ends. The suture thread has the suture thread support body and the needle accommodation body. 125-. (canceled)26. A suture device comprising a thread , a suture needle coupled to a first portion of the thread and a suture support body coupled to a second portion of the thread.27. A method of manufacturing a suture device , the method comprising:providing a thread;{'claim-ref': {'@idref': 'CLM-00026', 'claim 26'}, 'coupling a first portion of the thread to a suture thread support body, and coupling a second portion of the thread to the suture needle, thereby providing the suture device of .'}28. A method of suturing , the method comprising:providing a suture device comprising a thread, a suture needle coupled to a first portion of the thread and a suture support body coupled to a second portion of the thread; andsuturing skin or tissue of a patient using the suture device.29. A suturing kit comprising:a suture needle; anda suture device comprising a thread, a needle accommodation body and suture support body. The present invention relates to a suture thread used for a surgical operation and a suturing, method using the suture thread, and more particularly, to a suture thread that does not require a knotting procedure during a suture operation, a method of manufacturing the suture thread, and a suturing method using the suture thread.In a suturing process performed for various surgical operation such as suturing of damaged muscles, blood vessels, nerves, injuries, or surgical cuts, double eyelid surgery, wrinkles plastic surgery, etc. a time-consuming, annoying, and very important work greatly affecting a result of surgery is a process of tying a ...

Apparatus And Method For Securing Tissue

An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a bone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance. 1. An improved hand tool for rotationally inserting a screw within a bone , comprising:a rotational driver having a handle supporting a shaft extending from a proximal end to a distal end;a socket defined in said distal end of said shaft for receiving a head of the screw for rotationally inserting the screw within the bone; anda first and a second slot is located in said socket defining a first and a second cutting edge for cutting the bone upon rotation of said rotational driver to simultaneously insert the screw and countersink the head of the screw within the bone.2. An improved hand tool for rotationally inserting a screw within a bone as set forth in claim 1 , including a suture retainer located on said handle for removeably retaining at least one suture.3. An improved hand tool for rotationally inserting a screw within a bone as set forth in claim 1 , including a suture retainer located on said handle for removeably retaining a suture; andsaid first and a second slot cooperating with said suture retainer for enabling a suture to extend from suture retainer through said first and second slots and a transverse aperture in said screw.5. An improved hand tool for rotationally inserting a screw within a bone as set forth in claim 1 , wherein the screw head has a cross-section of a hexagon with a first and a second channel recessed in opposed sides of the screw head and communicating with a transverse aperture extending ...

SOFT ANCHOR ASSEMBLY WITH BARBED FLEXIBLE STRAND AND TECHNIQUES FOR USE

A soft anchor assembly according to an exemplary aspect of the present disclosure includes, among other things, a sheath and a flexible strand at least partially surrounded by the sheath. 1. A soft anchor assembly , comprising:at least one sheath; anda flexible strand passing through said at least one sheath, said flexible strand including a first plurality of barbs, wherein said first plurality of barbs restrict movement of said at least one sheath in a first direction and allow movement of said at least one sheath in a second opposite direction.2. The assembly as recited in claim 1 , wherein said at least one sheath is a tubular sleeve made of a flexible material.3. The assembly of claim 4 , wherein said first plurality of barbs are located adjacent a first end of said flexible strand.4. The assembly of claim 1 , wherein said flexible strand forms a loop and includes a second plurality of barbs claim 1 , said first plurality of barbs and said second plurality of barbs are threaded through said at least one sheath such that said first plurality of barbs overlap said second plurality of barbs within said at least one sheath.5. The assembly of claim 1 , wherein a first end of said flexible strand forms a loop at least partially surrounded by one of said at least one sheath.6. The assembly of claim 5 , wherein said first plurality of barbs extend from said loop to a second end of said flexible strand and are angled toward said loop.7. The assembly of claim 5 , wherein said at least one sheath includes a tubular body defining a bore and said flexible strand extends through said tubular body.8. A method claim 5 , comprising: 'utilizing a soft anchor assembly having a flexible strand passing through at least one sheath, said flexible strand having a first plurality of barbs allowing movement of said at least one sheath along said flexible strand in a first direction and restricting movement of said at least one sheath in a second direction.', 'attaching a first portion ...

Endoscopic Suture Loop Anchors and Methods

A suture needle system includes a first needle and at least one second needle. Each of the first and second needles preferably has a common needle body construct. The first needle includes an elongate suture having a length sufficient to extend at least the length of an instrument channel of an endoscope. The second needle includes an opening formed by a loop of suture at which the second needle can be advanced over the elongate suture. In use, the first needle is secured to a first tissue location using an endoscopic suturing system. A second needle is advanced at its opening over the elongate suture and secured to a second tissue location. Additional second needles may be advanced over the elongate suture to respective tissue locations. The elongate suture is pulled taut, drawing the second needles into proximity, and secured. 1. A needle assembly for use in association with a suturing device having a movable needle holder arm and a length of suture , comprising:a needle tip with a sharp end and a circumferential capture groove adjacent the sharp end, anda straight, tubular needle body having a first end adjacent the needle tip, a second end opposite the needle tip, a side wall extending between the first and second ends, and an axis extending between the first and second ends,the second end provided with retaining structure into which the needle holder arm is received so that the needle body can be removably retained on the needle holder arm, and a suture passage open to receive suture through the body of the needle, the passage extending through the side wall at a location between the first and second ends of the needle body and extending transverse to the needle axis when the needle tip is assembled at the first end of the needle body,wherein the needle assembly is adapted to be longitudinally displaced along a length of suture extending through the suture passage during use of the needle assembly.2. The needle assembly of claim 1 , wherein:the suture passage ...

Suturing bead, suturing needle, side suction cap and endoscopic organ suturing implement using same

The present invention relates to a suturing bead, a suturing needle, a side suction cap and to an endoscopic organ suturing implement using same. More specifically, the present invention relates to an endoscopic organ suturing implement comprising a suturing bead which can be naturally rested lying against the organ wall during discharge, a suturing needle by means of which it is possible to control discharge of the suturing bead, and a side suction cap constituted in such a way as to be able to prevent damage to other organs during surgery.

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.

Devices, systems, and methods for securing tissue

The present disclosure pertains to medical devices. More particularly, the present disclosure pertains to devices, systems, and methods for securing tissue, such as a tissue defect or wound resulting from an endoscopic procedure, e.g., an endoscopic mucosal resection or submucosal dissection procedure. In one example, a device for securing tissue may include a loop portion configured to be disposed about a distal end of a delivery device in a delivery configuration and configured to be secured about the tissue in a deployed configuration. A locking member may be disposed on the loop portion. A tether portion having a proximal end extendable proximally within the delivery device and a distal portion extending from the loop portion slidably through the locking member.

Meniscus repair

Methods for repairing a meniscus, and particularly a torn meniscus. A method of repairing a meniscus may include using a suture passer to pass a suturing element from the region between the superior surface of the meniscus and the femoral condyle, through the meniscus tissue, into the region between the inferior surface of the meniscus and the tibial plateau, across the inferior surface of the meniscus, and back to the superior surface of the meniscus, without deeply penetrating the posterior capsular region of the knee. Equivalently, the suture element may be passed from the inferior surface of the meniscus to the superior surface and back to the inferior surface.

VARIABLE DEPTH SURGICAL FIXATION

The invention generally relates to devices for fastening a hernia mesh. The invention provides a surgical fastening device that includes a shaft with a fastener carrier disposed at least partially within the shaft, in which the carrier is configured to accept fasteners of a plurality of different sizes. Different sized fasteners can be preloaded in interchangeable carriers or even mixed together within a carrier in the fastening device. The device can deliver the fasteners to different depths in a patient's tissue. 1. A fastener application device comprising:a shaft; anda fastener carrier operably connected to the shaft, wherein the carrier is configured to deliver a plurality of fasteners each to a different depth2. The device of claim 1 , wherein the plurality of fasteners comprises pre-formed fasteners of a plurality of different sizes.3. The device of claim 1 , further comprising a handle and a trigger claim 1 , and further wherein positioning the carrier at tissue and squeezing the trigger delivers one fastener into the tissue.4. The device of claim 3 , wherein the carrier is configured to accept fasteners that comprise short helical tacks and fasteners that comprise long helical tacks.5. The device of claim 4 , wherein one squeeze of the trigger displaces a helical tack by a fixed distance along an axis of the shaft.6. The device of claim 1 , wherein the fastener carrier comprises a replaceable cartridge.7. The device of claim 1 , wherein an inside surface of the carrier is threaded.8. The device of claim 1 , further comprising a handle and a trigger claim 1 , and further wherein operation of the trigger causes a hammer member within the carrier to advance a fastener from the device into tissue.9. The device of claim 8 , wherein the carrier is configured to accept fasteners of different lengths claim 8 , and one operation of the trigger advances the hammer member by a fixed distance.10. The device of claim 8 , wherein the hammer member is shaped to grasp one ...

Self-locking suture strand

A novel suture strand is herein disclosed. The suture strand includes a suture body, a hole, and multiple barbs. The hole is formed transversely through a first portion of the suture body. The barbs are coupled to a second portion of the suture body and are designed to allow the second portion of the suture body to pass through the hole in a first direction and prevent movement of the second portion of the suture body in an opposite, second direction.

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra. 122-. (canceled)23. A system for implantation in a lumen of a urethra , comprising:a delivery device configured to carry and deliver an implant; andan implant having a non-circular cross-sectional shape such that the cross-sectional shape substantially conforms to the cross-sectional shape of the urethra.24. The system of wherein the non-circular cross-sectional shape of the implant is a triangular shape.25. The system of wherein the implant is configured to have a first configuration to a second configuration.26. The system of wherein the first configuration is a constrained configuration and the second configuration is an expanded configuration.27. The system of wherein the implant self-expands from the first configuration to the second configuration.28. The system of wherein the delivery device causes the implant to change from the first configuration to the second configuration.29. The system of wherein the implant is configured to provide an outward radial force on the urethra.30. The system of wherein the implant is configured to provide an outward radial force on the urethra in the second configuration.31. The system of wherein the implant is configured to provide an outward radial force on the urethra in the expanded configuration.32. An implant for treating a urethral lumen claim 26 , comprising a plurality of legs arranged in triangular shape claim 26 , wherein the implant has a delivery configuration and a deployed configuration.33. The implant of wherein the delivery configuration has a smaller cross-section than the deployed configuration.34. The implant of wherein the implant self-expands from the delivery configuration to the deployed configuration.35. The implant of wherein the implant is expanded from the delivery configuration to the deployed configuration using a delivery ...

Hydrogel filled barbed suture

A medical device includes an elongated body including an outer surface having a plurality of barbs extending therefrom and an inner surface defining a lumen therethrough. The elongated body includes at least one channel extending through the inner surface and the outer surface, the channel defined between an inner surface of one of the plurality of barbs and a cut outer surface of the elongated body. A wound treatment material is disposed within the lumen of the elongated body. The barb is configured to move between a first position to close the channel and retain the wound treatment material within the lumen and a second position to open the channel and permit the release of the wound treatment material therethrough.

System and method for forming barbs on a suture

A station for cutting a barb suture is provided. The barb cutting station includes a suture transport assembly for supporting a first suture, a first knife assembly for forming barbs on the first suture, and a first clamp and position assembly for approximating the at least first suture towards the at least first knife assembly. The barb cutting station may further include at least a first suture cutting mechanism configured for severing the at least first suture when a defect is detected. The station may also include at least a first visual inspection assembly configured for detecting defective barbs.

Systems and methods for endoscopic submucosal dissection using magnetically attachable hemoclips

A method of performing an endoscopic submucosal resection includes using two magnet-attached hemostatic clips that are selectively coupled to one another via their respective magnets.

ENDOSCOPIC STITCHING DEVICES

The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof. 1. (canceled)2. An end effector for use with an endoscopic stitching device comprising:a pair of jaws, each jaw of the pair of jaws defining a suture needle receiving recess formed in a tissue contacting surface thereof; and [ a knuckle formed on a first side thereof; and', 'a clevis formed on a second side thereof, the knuckle of a link of the plurality of links being operatively connected to the clevis of an adjacent link; and, 'a plurality of links in pivotable contact with one another, each link of the plurality of links including, 'at least one stiffener plate extending through at least a pair of operatively connected links of the plurality of links, the at least one stiffener plate including proximal and distal ends, wherein of the proximal and distal ends of the at least one stiffener plate only the distal end is axially fixed., 'a neck assembly configured for articulation in one direction between a substantially linear configuration and an off-axis configuration, the neck assembly including3. The end effector according to claim 2 , wherein the end effector is articulatable in a direction out of a plane defined by the at least one stiffener plate.4. The end effector according to claim 2 , wherein the knuckles and devises are configured to enable articulation of the neck assembly ...

Compound Barb Medical Device and Method

A compound barb medical device is provided which includes an elongated body having at least one barb formed along the length of the body, the barb defining an inner surface with a first portion disposed at a first orientation relative to a longitudinal axis of the elongated body, and a second portion disposed at a second orientation relative to the longitudinal axis. Optionally, the barb defines a third portion disposed at a third orientation relative to the longitudinal axis. A method for forming a compound barb on a medical device is also provided. 125-. (canceled)26. A method of forming a compound barb on a medical device , comprising the steps of:applying ultrasonic energy to a cutting element of a barb cutting apparatus;moving a medical device against the cutting element at a first angle relative to a longitudinal axis of the medical device to form a first cut in the medical device, the first cut having a first ratio of cut depth to diameter of the medical device;moving the medical device against the cutting element at a second angle relative to a longitudinal axis of the medical device to form a second cut in the medical device, the second cut having a second ratio of cut depth to diameter of the medical device; anddiscontinuing the application of ultrasonic energy to the cutting element prior to moving the medical device out of contact with the cutting element.27. The method according to claim 26 , wherein moving the medical device against the cutting element at the first angle includes contacting the medical device at the first angle of from about 0 degrees to about 90 degrees.28. The method according to claim 27 , wherein contacting the medical device at the first angle includes forming the first angle at about 30 degrees to about 50 degrees.29. The method according to claim 28 , wherein moving the medical device against the cutting element at the first angle includes cutting a surface of the medical device at the first ratio of cut depth to diameter of ...

SURGICAL APPARATUS, METHOD FOR USING THE SURGICAL APPARATUS AND SUTURE METHOD

A surgical apparatus for suturing tissue using a surgical suture material having one or more hooking elements is provided. The surgical apparatus includes a suture material transportation member adapted to transport the suture material, a suture material dispensing member adapted to displace the suture material transportation member in a first direction for dispensing suture material to the tissue to be sutured and adapted to apply a specified pull force to the suture material, and a suture material application member adapted to apply the suture material to the tissue so that at least the hooking elements are introduced into the tissue. 1. A surgical apparatus for suturing tissue using a surgical suture material having one or more hooking elements , the surgical apparatus comprising:a suture material transportation member adapted to transport the suture material;a suture material dispensing member adapted to displace the suture material transportation member in a first direction for dispensing suture material to the tissue to be sutured and adapted to apply a specified pull force to the suture material; anda suture material application member adapted to apply the suture material to the tissue so that at least the hooking elements are introduced into the tissue.2. A surgical apparatus according to claim 1 , wherein the suture material is adhered onto the suture material transportation member in order to be transported.3. A surgical apparatus according to claim 1 , wherein the suture material dispensing member is further adapted to displace the suture material transportation member.4. A surgical apparatus according to claim 1 , further comprising a suture material separation member adapted to separate the suture material from the suture material transportation member.5. A surgical apparatus according to claim 4 , further comprising a suture material cutting member adapted to cut the suture material in an area where the suture material is separated from the suture ...

Endoscopic Stitching Devices

The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof. 1. (canceled)2. An endoscopic stitching device , comprising:an elongate shaft; a neck assembly configured for articulation between a substantially linear configuration and an off-axis configuration, the neck assembly including a plurality of links in pivotable contact with one another; and', 'a pair of jaws operatively coupled with the neck assembly; and, 'an end effector supported on a distal end of the elongate shaft, the end effector includinga stiffener plate extending through at least a pair of the plurality of links, wherein the stiffener plate includes proximal and distal ends, wherein of the proximal and distal ends of the stiffener plate only the distal end is affixed to the end effector.3. The endoscopic stitching device according to claim 2 , wherein the pair of jaws is rotatably supported on the end effector for selective rotation about a longitudinal axis thereof.4. The endoscopic stitching device according to claim 2 , wherein each link of the plurality of links includes a knuckle formed on a first side thereof and a clevis formed on a second side thereof claim 2 , wherein the knuckle of a first link of the plurality of links is operatively connected to the clevis of an adjacent link.5. The endoscopic stitching device according to claim 4 , wherein the knuckles and clevises ...

Laparoscopic Suture Device with Autoloading and Suture Capture

A suturing device provided. The suturing device may include at least a firing aperture, a drive mechanism and an autoloading mechanism. The firing aperture may include at least one needle rotatably disposed therein configured to engage a suture for deployment. The drive mechanism may be operatively coupled to the needle and configured to advance the needle from a retracted position to an extended position during engagement, and retract the needle from the extended position to the retracted position during disengagement. The autoloading mechanism may be operatively coupled to the drive mechanism and configured to slidably retrieve and position a suture to be deployed over the firing aperture during disengagement of the drive mechanism. 122-. (canceled)23. A tissue fastener , comprising:an elongated filament extending between a first end and a second end;a needle guide disposed on at least one of the first and second ends configured to be at least partially engaged by a needle during deployment;one or more retention elements disposed on the needle guide configured to resist retraction through at least one of a tissue and a prosthetic material; andone or more constriction elements disposed on the needle guide configured to at least partially constrict the needle guide against the needle during deployment.24. The tissue fastener of claim 23 , wherein the elongated filament further includes at least one of a cross member and a filament guide disposed thereon configured to provide structural integrity to the fastener prior to deployment.25. The tissue fastener of claim 24 , wherein one or more of the cross member and the filament guide includes a retaining feature configured to further resist retraction thereof.26. The tissue fastener of claim 23 , wherein the elongated filament further includes at least one breakaway tab extending therefrom configured to couple to the needle guide prior to deployment and detach upon deployment.27. The tissue fastener of claim 23 , ...

DEVICE AND METHOD OF PERFORMING CERCLAGE SACROCERVICOPEXY

An implantable cerclage sacrocolpopexy medical device includes an elongate strip of flat, flexible material extending longitudinally from a first end to an opposite second end; a surgical needle attached to the first end of the elongate strip; and a loop at either the first end or the second end of the elongate strip. The medical device is positioned circumferentially around the cervix. The end of the elongate strip opposite the end having the loop is passed through the loop and attached to the sacrum or sacrospinous ligament. 1. An implantable cerclage sacrocolpopexy medical device , comprising:an elongate strip of flat, flexible material extending longitudinally from a first end to an opposite second end;a surgical needle attached to the first end of the elongate strip; anda loop at either:(1) the first end of the elongate strip proximate the needle, wherein the loop is sized and shaped to enable passage therethrough of the second end of the elongate strip after the elongate strip has been positioned to encircle the cervix in a cerclage configuration and the needle has been detached from the elongate strip, and wherein the second end of the elongate strip is configured for attachment to the sacrum or sacrospinous ligament, or(2) the second end of the elongate strip, wherein the loop is sized and shaped to enable passage therethrough of the first end of the elongate strip after the elongate strip has been positioned to encircle the cervix in a cerclage configuration and the needle has been detached from the elongate strip, and wherein the first end of the elongate strip is configured for attachment to the sacrum or sacrospinous ligament.2. The medical device of claim 1 , wherein the flat claim 1 , flexible material comprises a mesh material.3. The medical device of claim 1 , wherein the flat claim 1 , flexible material comprises a fabric or a non-cross-linked biologic graft.4. The medical device of claim 1 , wherein the needle is either straight or curved claim 1 , ...

Method of Suturing Tissue

A medical device for installing sutures to close an incision in tissue or human skin is disclosed. The suturing device may provide first and second arcuate needles. Once properly positioned, the first and second arcuate needles are driven through the sub-dermal layer, or alternatively through a superficial surface, of two sections of skin to be joined. This is done in arcuate fashion and at identical and symmetrical rates of angular displacement. In so doing, the sections of skin are pushed toward one another thus assuring horizontal and vertical alignment of the two sections of skin. During the driving or retraction process of the first and second arcuate needles, a suture is positioned within both the first and second sections of skin and transformed from a planar or a multi-planar serpentine orientation to a helical orientation. The resulting suturing process is thus much faster than conventional or manual suturing and results in superior wound approximation/alignment that will lead to decreased scarring compared to prior art devices. 110-. (canceled)11. A method of suturing tissue , comprising;positioning a suturing device proximate first and second sections of tissue to be sutured together;driving first and second arcuate needles in opposing directions of rotation into the first and second sections of tissue, the first and second needles separately entering dermal layers of the first and second sections of tissue; anddeploying a suture connecting the first and second sections of tissue upon movement of the first and second needles.12. The method of claim 11 , wherein the driving is configured to penetrate through a superficial surface of skin.13. The method of claim 11 , wherein the deploying is performed upon forward rotation of the first and second arcuate needles in an antegrade configuration.14. The method of claim 11 , wherein the deploying is performed upon reverse rotation of the first and second arcuate needles in a retrograde configuration.15. The ...

Suture-based assembly for tissue repair, and associated devices and methods

The present technology is directed to systems, methods, and devices for anchoring suture devices into a target patient tissue to treat a medical condition. For example, in some embodiments the present technology includes a tissue-support system including an applicator device and a suture device. The applicator device is configured to deploy and anchor the suture device in a target tissue. In some embodiments, the suture device is deployed such that an anchor of the suture device is positioned external to the tissue it is anchored to.