JP2005525867A - 組織を貫通および接合するための装置 - Google Patents
組織を貫通および接合するための装置 Download PDFInfo
- Publication number
- JP2005525867A JP2005525867A JP2004504915A JP2004504915A JP2005525867A JP 2005525867 A JP2005525867 A JP 2005525867A JP 2004504915 A JP2004504915 A JP 2004504915A JP 2004504915 A JP2004504915 A JP 2004504915A JP 2005525867 A JP2005525867 A JP 2005525867A
- Authority
- JP
- Japan
- Prior art keywords
- thread
- tissue layer
- configuration
- elongate
- elongate member
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 230000000149 penetrating effect Effects 0.000 title description 2
- 230000003872 anastomosis Effects 0.000 claims abstract description 28
- 238000000034 method Methods 0.000 description 10
- 210000000056 organ Anatomy 0.000 description 7
- 238000002604 ultrasonography Methods 0.000 description 6
- 210000001072 colon Anatomy 0.000 description 5
- 210000002784 stomach Anatomy 0.000 description 5
- 210000000813 small intestine Anatomy 0.000 description 4
- 238000003825 pressing Methods 0.000 description 3
- 230000003874 surgical anastomosis Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 235000001674 Agaricus brunnescens Nutrition 0.000 description 2
- 208000015634 Rectal Neoplasms Diseases 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 238000001574 biopsy Methods 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 210000001198 duodenum Anatomy 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 238000012084 abdominal surgery Methods 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000941 bile Anatomy 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 208000013718 rectal benign neoplasm Diseases 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0404—Buttons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Physiology (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
第1実施形態は、2つの中空チューブ1および2を含み、これら中空チューブのそれぞれは対応する穴3、4を有する。これらの穴はチューブの長手方向端部において外部に通じるだけでなく、チューブの壁面に設けられたそれぞれのノッチ5、6およびそれぞれの開口7、8を通して外部に通じる。細長い部材1、2にはガイド・ワイヤ9が通されており、このワイヤは穴3、4を通り、例えばプラスチック材料内に収められた密巻きワイヤで製造されるカテーテル・チューブ等のチューブ10に沿って延びる。この特定の実施形態においては、組立体は内視鏡100のバイオプシー・チャネル110から出ているものを示す。
Claims (10)
- 第2構成部品と協働して第1構成部品として作用するように成された、第1組織層と第2組織層とを結合する際に使用するための装置であって、相互に略整列させられた導入時の第1形体及び相互に角度をなして配置された使用時の第2形体を有する複数の細長い部材を備え、前記細長い部材を前記第1形体から前記第2形体に変える手段を備える、装置。
- 前記細長い部材が管状壁を有する管状部材である、請求項1に記載の装置。
- 前記細長い部材を前記第1形体から前記第2形体に変える手段が、前記細長い部材に通される糸を含み、前記細長い部材は前記糸に張力を加えることにより前記第2形体になるように構成されている、請求項2に記載の装置。
- 前記第2形体において十字形を成す、ちょうど2つの前記細長い部材がある、請求項1から3のいずれか一項に記載の装置。
- 2つの前記細長い部材のそれぞれには、それぞれの管状壁に一対の開口が設けられており、前記糸が、一方の部材の前記壁に形成された前記一対の開口と、他方の部材の前記壁に形成された前記一対の開口とを連続して通っている、請求項3に記載の装置。
- それぞれの前記一対の開口がノッチ形状の一方の開口を有し、前記糸が、前記細長い部材の一方から、該部材に形成された前記ノッチを介して延出し、前記細長い部材の他方に形成された前記ノッチを介して該他方の部材に入り、これにより、前記細長い部材が前記第2形体にあるとき、前記細長い部材の前記ノッチが形成された部分同士が相互に係合する、請求項5に記載の装置。
- 2つの追加チューブおよび第2の糸をさらに備え、前記第2の糸は、前記第1管状部材、前記追加チューブの一方、前記第2管状部材、および前記追加チューブの他方を連続して通り、両方の糸に張力が加えられることにより、前記装置がその第2形体に変えられて、前記細長い部材は対角線の十字形を形成し、前記追加チューブは前記十字形の各側に位置する、請求項5または6に記載の装置。
- 第1組織層と第2組織層とを結合するための組立体であって、請求項1から7のいずれか一項に記載の装置であって、前記第1組織層の外側面に押し付けられることにより第1構成部品として作用するように成された装置と、前記第2組織層の外側面上に押し付けられるように成された第2構成部品と、を備えた組立体。
- 第2組織層の前記外側面に対して前記第2構成部品を押し付けるように構成されたばね要素を有する、請求項8に記載の組立体。
- 吻合形成組立体として機能するように成された、請求項8または9に記載の組立体。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GBGB0211378.5A GB0211378D0 (en) | 2002-05-17 | 2002-05-17 | A device for transfixing and joining tissue |
PCT/GB2003/002075 WO2003096910A1 (en) | 2002-05-17 | 2003-05-14 | A device for transfixing and joining tissue |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005525867A true JP2005525867A (ja) | 2005-09-02 |
JP4489581B2 JP4489581B2 (ja) | 2010-06-23 |
Family
ID=9936903
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004504915A Expired - Lifetime JP4489581B2 (ja) | 2002-05-17 | 2003-05-14 | 組織を貫通および接合するための装置 |
Country Status (8)
Country | Link |
---|---|
EP (1) | EP1507481B1 (ja) |
JP (1) | JP4489581B2 (ja) |
AT (1) | ATE416684T1 (ja) |
AU (1) | AU2003233995B2 (ja) |
CA (1) | CA2483138C (ja) |
DE (1) | DE60325205D1 (ja) |
GB (1) | GB0211378D0 (ja) |
WO (1) | WO2003096910A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010512820A (ja) * | 2006-12-15 | 2010-04-30 | キンバリー クラーク ワールドワイド インコーポレイテッド | 組織間固定装置およびその使用方法 |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050187565A1 (en) * | 2004-02-20 | 2005-08-25 | Baker Steve G. | Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same |
US7658750B2 (en) | 2004-03-18 | 2010-02-09 | Warsaw Orthopedic, Inc. | Suture anchoring system and method |
US8814903B2 (en) | 2009-07-24 | 2014-08-26 | Depuy Mitek, Llc | Methods and devices for repairing meniscal tissue |
US8828053B2 (en) | 2009-07-24 | 2014-09-09 | Depuy Mitek, Llc | Methods and devices for repairing and anchoring damaged tissue |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
BR112012027242A2 (pt) | 2010-04-27 | 2017-07-18 | Synthes Gmbh | montagem de fixação incluindo uma âncora expansível |
US9597064B2 (en) | 2010-04-27 | 2017-03-21 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
US9220506B2 (en) | 2010-06-16 | 2015-12-29 | DePuy Synthes Products, Inc. | Occlusive device with stretch resistant member and anchor filament |
US9307978B2 (en) | 2010-11-04 | 2016-04-12 | Linvatec Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone |
US9307977B2 (en) | 2010-11-04 | 2016-04-12 | Conmed Corporation | Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing suture to bone |
CN103648405B (zh) | 2011-02-16 | 2016-09-14 | 林瓦特克公司 | 包括提供和使用新颖缝线组件来将对象固定到骨上的用于将对象固定到骨上的方法及设备 |
US9113867B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9173657B2 (en) | 2011-12-15 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3845772A (en) * | 1973-09-17 | 1974-11-05 | D Smith | Retention suture device and method |
US5041129A (en) * | 1990-07-02 | 1991-08-20 | Acufex Microsurgical, Inc. | Slotted suture anchor and method of anchoring a suture |
US5549630A (en) * | 1993-05-14 | 1996-08-27 | Bonutti; Peter M. | Method and apparatus for anchoring a suture |
US5845645A (en) * | 1993-05-14 | 1998-12-08 | Bonutti; Peter M. | Method of anchoring a suture |
US5645589A (en) * | 1994-08-22 | 1997-07-08 | Li Medical Technologies, Inc. | Anchor and method for securement into a bore |
US6071292A (en) * | 1997-06-28 | 2000-06-06 | Transvascular, Inc. | Transluminal methods and devices for closing, forming attachments to, and/or forming anastomotic junctions in, luminal anatomical structures |
US5921986A (en) * | 1998-02-06 | 1999-07-13 | Bonutti; Peter M. | Bone suture |
-
2002
- 2002-05-17 GB GBGB0211378.5A patent/GB0211378D0/en not_active Ceased
-
2003
- 2003-05-14 EP EP03727663A patent/EP1507481B1/en not_active Expired - Lifetime
- 2003-05-14 AT AT03727663T patent/ATE416684T1/de not_active IP Right Cessation
- 2003-05-14 JP JP2004504915A patent/JP4489581B2/ja not_active Expired - Lifetime
- 2003-05-14 WO PCT/GB2003/002075 patent/WO2003096910A1/en active Application Filing
- 2003-05-14 CA CA2483138A patent/CA2483138C/en not_active Expired - Fee Related
- 2003-05-14 DE DE60325205T patent/DE60325205D1/de not_active Expired - Lifetime
- 2003-05-14 AU AU2003233995A patent/AU2003233995B2/en not_active Ceased
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010512820A (ja) * | 2006-12-15 | 2010-04-30 | キンバリー クラーク ワールドワイド インコーポレイテッド | 組織間固定装置およびその使用方法 |
Also Published As
Publication number | Publication date |
---|---|
ATE416684T1 (de) | 2008-12-15 |
JP4489581B2 (ja) | 2010-06-23 |
CA2483138A1 (en) | 2003-11-27 |
AU2003233995B2 (en) | 2008-05-15 |
EP1507481A1 (en) | 2005-02-23 |
GB0211378D0 (en) | 2002-06-26 |
EP1507481B1 (en) | 2008-12-10 |
AU2003233995A1 (en) | 2003-12-02 |
DE60325205D1 (de) | 2009-01-22 |
CA2483138C (en) | 2011-07-05 |
WO2003096910A1 (en) | 2003-11-27 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7494496B2 (en) | Device for transfixing and joining tissue | |
US7879051B2 (en) | Flexible device for transfixing and joining tissue | |
JP4489581B2 (ja) | 組織を貫通および接合するための装置 | |
AU2004226692B2 (en) | A device for transfixing and joining tissue | |
AU2002257915A1 (en) | A flexible device for transfixing and joining tissue | |
US8939897B2 (en) | Methods for closing a gastrotomy | |
US20230389924A1 (en) | Systems, devices, and methods for forming anastomoses | |
US20050085691A1 (en) | Endoscope having multiple working segments | |
US20060253127A1 (en) | Endoluminal linear suturing device | |
JP2007307382A (ja) | 結紮要素および縫合糸アンカーの組み合わせアプリケータ | |
JP5485286B2 (ja) | 組織を縫合するための内視鏡エンドキャップ | |
JP7420863B2 (ja) | 非付着性構造を接続するためのシステム、方法及び装置 | |
US20230255624A1 (en) | Systems, devices, and methods for delivering and positioning magnetic anastomosis compression devices for subsequent formation of anastomoses | |
WO2012150578A1 (en) | Device and method for forming an anastomosis |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20060509 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20090622 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20090626 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20090925 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20091002 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20091228 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20100305 |
|
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20100331 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20130409 Year of fee payment: 3 |
|
R150 | Certificate of patent or registration of utility model |
Free format text: JAPANESE INTERMEDIATE CODE: R150 Ref document number: 4489581 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20130409 Year of fee payment: 3 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20140409 Year of fee payment: 4 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
EXPY | Cancellation because of completion of term |