JP6431534B2 - 解剖学的組織を縫合するための縫合装置及び方法 - Google Patents
解剖学的組織を縫合するための縫合装置及び方法 Download PDFInfo
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- JP6431534B2 JP6431534B2 JP2016524213A JP2016524213A JP6431534B2 JP 6431534 B2 JP6431534 B2 JP 6431534B2 JP 2016524213 A JP2016524213 A JP 2016524213A JP 2016524213 A JP2016524213 A JP 2016524213A JP 6431534 B2 JP6431534 B2 JP 6431534B2
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- needle
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- suturing system
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- 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- 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
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Claims (16)
- 近位端部及び遠位端部を有する細長い本体を備える縫合装置と、
前記遠位端部近くの複数のアームであって、各アームは、前記アームが前記細長い本体の中に後退している第1の位置と、前記アームが前記細長い本体から離れる方向に延びる自由端を有する第2の位置との間で移動するように構成され、各アームが前記自由端に少なくとも1つの縫合糸マウントを備える、前記遠位端部近くの複数のアームと、
前記細長い本体の少なくとも一部を取り囲むように構成されるシースと、
前記シースの少なくとも一部を取り囲むように構成される複数の外側管腔及び中央管腔を有する針キャリッジと、
複数の針であって、各針は、対応する外側管腔の中に前記針がある後退位置から、前記針の遠位先が前記対応する外側管腔から出て対応する縫合糸マウントの中に延びている展開位置の間で移動するように構成される、複数の針と、
複数の縫合糸部であって、各縫合糸部が、前記複数のアームのうちの対応するアームの縫合糸マウントの中に取り外し可能に保持される縫合糸端を有する、複数の縫合糸部とを備える、縫合システム。 - 前記複数のアームに近接して配置される少なくとも1つの位置合わせ延長部を更に備え、各位置合わせ延長部が、前記位置合わせ延長部が前記細長い本体の中に後退されている第1の位置と、前記位置合わせ延長部が前記細長い本体から離れる方向に延びる自由端を有する第2の位置との間で移動するように構成される、請求項1に記載の縫合システム。
- 前記少なくとも1つの位置合わせ延長部のそれぞれが、前記針キャリッジと係合するように構成される少なくとも1つのデテントを備える、請求項2に記載の縫合システム。
- 前記少なくとも1つの位置合わせ延長部のそれぞれが、前記後退位置から前記展開位置に移動する針を反らすように構成される角度付き面を備える、請求項2又は3に記載の縫合システム。
- 前記少なくとも1つの位置合わせ延長部のそれぞれが前記第2の位置にあるとき、前記位置合わせ延長部の前記自由端が、前記複数のアームが前記第2の位置にあるときの前記複数のアームの前記自由端より、前記細長い本体に近い、請求項2から4までのいずれか一項に記載の縫合システム。
- 前記位置合わせ延長部が前記第1の位置から前記第2の位置まで移動するとき、前記少なくとも1つの位置合わせ延長部のそれぞれの前記自由端が近位方向に移動する、請求項2から5までのいずれか一項に記載の縫合システム。
- 前記少なくとも1つの位置合わせ延長部が、複数のアームである、請求項2から6までのいずれか一項に記載の縫合システム。
- 前記展開位置にある各針が、前記少なくとも1つの位置合わせ延長部の1つを通過する、請求項2から7までのいずれか一項に記載の縫合システム。
- 前記少なくとも1つの位置合わせ延長部のそれぞれが、1つの針誘導区間を有する、請求項2から8までのいずれか一項に記載の縫合システム。
- 前記縫合装置が、前記遠位端部の近くに少なくとも1つの位置合わせデテントを備え、前記針キャリッジが、対応する位置合わせデテントと係合するように構成される少なくとも1つのキャリッジ・デテントを備える、請求項1に記載の縫合システム。
- 前記少なくとも1つの位置合わせデテントが、凹部であり、前記少なくとも1つのキャリッジ・デテントが、突起である、請求項10に記載の縫合システム。
- 前記少なくとも1つのキャリッジ・デテントが、前記中央管腔の中に延びる突起である、請求項10又は11に記載の縫合システム。
- 前記少なくとも1つのキャリッジ・デテントのそれぞれが前記少なくとも1つの位置合わせデテントの対応する1つと係合するとき、各外側管腔が、対応する縫合糸マウントと長手方向に位置合わせされる、請求項10から12までのいずれか一項に記載の縫合システム。
- 前記アームが前記第1の位置から前記第2の位置まで移動するとき、前記複数のアームのそれぞれの前記自由端が、近位方向に移動する、請求項1から13までのいずれか一項に記載の縫合システム。
- 前記針キャリッジの遠位端部に針デフレクタを更に備える、請求項1から14までのいずれか一項に記載の縫合システム。
- 前記針デフレクタが、前記針キャリッジと一体化して形成される、請求項15に記載の縫合システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201361842304P | 2013-07-02 | 2013-07-02 | |
US61/842,304 | 2013-07-02 | ||
PCT/US2014/044429 WO2015002815A1 (en) | 2013-07-02 | 2014-06-26 | Suturing devices and methods for suturing an anatomic structure |
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JP2018176595A Division JP6726247B2 (ja) | 2013-07-02 | 2018-09-20 | 解剖学的組織を縫合するための縫合装置及び方法 |
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JP2016526442A JP2016526442A (ja) | 2016-09-05 |
JP2016526442A5 JP2016526442A5 (ja) | 2017-08-03 |
JP6431534B2 true JP6431534B2 (ja) | 2018-11-28 |
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JP2018176595A Active JP6726247B2 (ja) | 2013-07-02 | 2018-09-20 | 解剖学的組織を縫合するための縫合装置及び方法 |
JP2020110435A Pending JP2020151596A (ja) | 2013-07-02 | 2020-06-26 | 解剖学的組織を縫合するための縫合装置及び方法 |
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JP2020110435A Pending JP2020151596A (ja) | 2013-07-02 | 2020-06-26 | 解剖学的組織を縫合するための縫合装置及び方法 |
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US (2) | US10828022B2 (ja) |
EP (2) | EP3473189A1 (ja) |
JP (3) | JP6431534B2 (ja) |
EA (2) | EA032962B1 (ja) |
WO (1) | WO2015002815A1 (ja) |
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2014
- 2014-06-26 EP EP18199178.7A patent/EP3473189A1/en active Pending
- 2014-06-26 EP EP14819989.6A patent/EP3016598B1/en active Active
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US11395658B2 (en) | 2014-07-11 | 2022-07-26 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
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JP2020151596A (ja) | 2020-09-24 |
JP2016526442A (ja) | 2016-09-05 |
EP3016598A4 (en) | 2017-04-26 |
EP3473189A1 (en) | 2019-04-24 |
US20160151064A1 (en) | 2016-06-02 |
EA201990049A1 (ru) | 2019-08-30 |
EA201690134A1 (ru) | 2016-07-29 |
US20210219974A1 (en) | 2021-07-22 |
WO2015002815A1 (en) | 2015-01-08 |
US10828022B2 (en) | 2020-11-10 |
EA032962B1 (ru) | 2019-08-30 |
EP3016598A1 (en) | 2016-05-11 |
EA039866B1 (ru) | 2022-03-22 |
EP3016598B1 (en) | 2018-10-10 |
JP6726247B2 (ja) | 2020-07-22 |
JP2018202206A (ja) | 2018-12-27 |
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