JPWO2021024236A5 - - Google Patents
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- JPWO2021024236A5 JPWO2021024236A5 JP2022500747A JP2022500747A JPWO2021024236A5 JP WO2021024236 A5 JPWO2021024236 A5 JP WO2021024236A5 JP 2022500747 A JP2022500747 A JP 2022500747A JP 2022500747 A JP2022500747 A JP 2022500747A JP WO2021024236 A5 JPWO2021024236 A5 JP WO2021024236A5
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- JP
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- Prior art keywords
- shuttle
- suturing device
- suture
- receiver
- delivery
- 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.)
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- 239000000463 material Substances 0.000 claims 11
- 230000000149 penetrating effect Effects 0.000 claims 5
- 238000006073 displacement reaction Methods 0.000 claims 3
- 229910045601 alloy Inorganic materials 0.000 claims 1
- 239000000956 alloy Substances 0.000 claims 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims 1
Description
本発明の一実施形態のさらなる特徴によれば、縫合糸解放開口部に連通した縫合糸送り容積部と、縫合糸であって、前記縫合糸は、前記縫合糸送り容積部内に部分的に位置し、前記縫合糸解放開口部から前記シャトルへ延び、前記シャトルに取り付けられる、縫合糸と、も設けられ、前記シャトル受渡部と前記シャトル受容部は、第１の軸に沿って並び、前記架橋部分の少なくとも一部は、前記第１の軸から第１の方向にずれ、前記縫合糸解放開口部は、前記第１の軸から見て外側を向くように配向され、前記第１の方向に向かって開口する。
In accordance with a further feature of an embodiment of the invention, there is also provided a suture feed volume in communication with a suture release opening, and a suture located partially within the suture feed volume and extending from the suture release opening to the shuttle and attached to the shuttle, wherein the shuttle delivery portion and the shuttle receiving portion are aligned along a first axis, at least a portion of the bridging portion is offset from the first axis in a first direction, and the suture release opening is oriented to face outwardly from the first axis and opens in the first direction.
シャトル（２１０）は、例えば、例えば図９Ａおよび図９Ｂに示して以下に詳述するように、シャトル針であり、図９Ｃに示すように、シャトルである。シャトル（２１０）は、例えば、シャフト部（１１０）の開口部（縫合糸解放開口部）（２１４）から延びる縫合糸（２１２）を受容して保持し、ここで、縫合糸（２１２）は、内腔に沿って送られるか、あるいは縫合糸送り容積部に収容される。開口部（２１４）は、例えば、縫合作用線（２３０）の反対側にあるシャフト部（１１０）に位置する（図２Ｃ）。この特徴の代わりの幾何学的な定義として、シャトル受渡部（２００）とシャトル受容部（２２０）とは、好ましくは、「縫合作用線」に対応する第１の軸（２３０）に沿って並べられる。架橋部分の少なくとも一部は、この第１の軸から第１の方向（２３３）にずれる。縫合糸解放開口部（２１４）は、好ましくは、第１の軸から見て外側を向くように配向され、好ましくは、第１の方向に向かって開口する。すなわち、直感的な言葉にすると、縫合解放開口部は、現在の縫合作用線に対して装置の「後方」に位置し、通常は現在の縫合作用線から離れる方向に縫合糸を送るために最適化される。ある用途およびある縫合パターンでは、この縫合糸解放開口部を好ましく位置付けることは、作業中に装置の向きが変えられたときに縫合糸が装置の周りに絡まる恐れを最小限にするという重要な役割を果たす。この特徴は、図３０Ａ～図３０Ｃを参照するとよりよく理解されるであろう。
The shuttle (210) may be, for example, a shuttle needle, as shown in Figures 9A and 9B and described in more detail below, or, as shown in Figure 9C, a shuttle. The shuttle (210) receives and holds, for example, a suture (212) extending from an opening (suture release opening) (214) in the shaft portion (110), where the suture (212) is routed along a lumen or contained in a suture feed volume. The opening (214) is, for example, located in the shaft portion (110) on the opposite side of the suture line of action (230) (Figure 2C). As an alternative geometric definition of this feature, the shuttle delivery portion (200) and the shuttle receiver portion (220) are preferably aligned along a first axis (230) corresponding to the "suture line of action". At least a portion of the bridge portion is offset in a first direction (233) from this first axis. The suture release opening (214) is preferably oriented to face outward from a first axis and preferably opens toward a first direction; that is, in intuitive terms, the suture release opening is located "back" of the device relative to the current line of suture action and is typically optimized for routing sutures away from the current line of suture action. In some applications and with some suturing patterns, the preferred positioning of this suture release opening plays an important role in minimizing the risk of sutures tangling around the device when the device is reoriented during operation. This feature will be better understood with reference to Figures 30A-30C.
Claims (18)
（ａ）縫合糸を保持するためのシャトルと、
（ｂ）前記シャトルを保持するためのシャトル保持部と、前記シャトル保持部に対して変位可能である、前記シャトル保持部から前記シャトルを解放するためのシャトル解放部とを含むシャトル受渡部と、
（ｃ）前記物質の前記第２の側で前記シャトルを受容するためのシャトル受容部と、
を含み、
前記シャトル保持部は、前記シャトルを保持し、それによって、前記シャトルと前記シャトル受渡部とが共に、前記シャトルが前記シャトル受容部と係合するまで前記第１の位置で前記シャトルを前記物質に通して進めるように移動可能である第１の貫通構成を形成し、
前記シャトル解放部は、前記シャトル保持部から前記シャトルを解放して、前記シャトルを前記シャトル受容部と係合させたまま前記第１の位置で前記シャトル受渡部を前記物質に通して引き抜き、
前記シャトル受渡部は、貫通用先端を伴う第２の貫通構成を呈し、前記シャトル受渡部は、前記シャトル受渡部と前記シャトル受容部の間の前記第２の位置と共に、前記シャトル受容部と並ぶとき、前記シャトル受渡部は、前記第２の位置で前記物質を貫通するために移動可能であり、
前記シャトル保持部は、前記シャトルを保持して、前記第２の位置で前記シャトルを前記物質に通して引き抜く、縫合装置。 1. A suturing device for threading a suture through a material from a first side to a second side of the material at a first location and threading a suture back through the material from the second side to the first side of the material at a second location, the suturing device comprising:
(a) a shuttle for holding a suture;
(b) a shuttle transfer section including a shuttle holding section for holding the shuttle and a shuttle release section displaceable relative to the shuttle holding section for releasing the shuttle from the shuttle holding section;
(c) a shuttle receiver for receiving the shuttle on the second side of the material; and
Including,
the shuttle holder holds the shuttle, whereby the shuttle and the shuttle delivery portion together form a first piercing arrangement movable to advance the shuttle through the material at the first position until the shuttle engages the shuttle receiver;
the shuttle release portion releases the shuttle from the shuttle holding portion and withdraws the shuttle delivery portion through the material at the first position while keeping the shuttle engaged with the shuttle receiving portion;
the shuttle delivery portion assumes a second piercing configuration with a piercing tip, and when the shuttle delivery portion is aligned with the shuttle receiver with the second position between the shuttle delivery portion and the shuttle receiver, the shuttle delivery portion is movable to pierce the material at the second position;
The shuttle holder holds the shuttle and pulls the shuttle through the material at the second position.
前記架橋部分から近位方向に延びるシャフト部と、
前記架橋部分の抽気ポート開口部と、
抽気筒部であって、前記抽気筒部は、前記シャフト部に沿って近位方向に、前記抽気ポート開口部から抽気筒部出口へ延びる、抽気筒部と、
をさらに含む、請求項７に記載の縫合装置。 The suturing device comprises:
a shaft portion extending proximally from the bridge portion;
a bleed port opening in the bridge portion;
a bleed section extending proximally along the shaft section from the bleed port opening to a bleed section outlet;
The suturing device of claim 7 further comprising:
縫合糸解放開口部に連通した、縫合装置に内在する縫合糸送り容積部と、
縫合糸であって、前記縫合糸は、前記縫合糸送り容積部内に部分的に位置し、前記縫合糸解放開口部から縫合装置の外側を通り、前記シャトルへと向かって延び、前記シャトルに取り付けられる、縫合糸と、
をさらに含み、
前記シャトル受渡部と前記シャトル受容部は、第１の軸に沿って並び、前記架橋部分の少なくとも一部は、前記第１の軸から第１の方向にずれ、前記縫合糸解放開口部は、縫合装置上で前記第１の軸から見て外側を向くように配向される、請求項７に記載の縫合装置。 The suturing device comprises:
a suture feed volume internal to the suturing device in communication with the suture release opening;
a suture, the suture being partially located within the suture feed volume and extending from the suture release opening, outside the suturing device, toward and attached to the shuttle;
Further comprising:
8. The suturing device of claim 7, wherein the shuttle delivery portion and the shuttle receiving portion are aligned along a first axis, at least a portion of the bridging portion is offset in a first direction from the first axis, and the suture release opening is oriented on the suturing device to face outward from the first axis.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201962884493P | 2019-08-08 | 2019-08-08 | |
| US62/884,493 | 2019-08-08 | ||
| PCT/IB2020/057513 WO2021024236A1 (en) | 2019-08-08 | 2020-08-10 | Suturing device and method for its use |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2022544448A JP2022544448A (en) | 2022-10-19 |
| JPWO2021024236A5 true JPWO2021024236A5 (en) | 2024-07-22 |
Family
ID=74503942
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2022500747A Pending JP2022544448A (en) | 2019-08-08 | 2020-08-10 | Suturing device and method of use |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20220265268A1 (en) |
| EP (1) | EP4009881A4 (en) |
| JP (1) | JP2022544448A (en) |
| CN (1) | CN114206230A (en) |
| WO (1) | WO2021024236A1 (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2024013700A1 (en) * | 2022-07-14 | 2024-01-18 | Novelrad Ltd. | Suturing devices and mechanisms for operating such devices |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS57170239A (en) * | 1981-04-13 | 1982-10-20 | Janome Sewing Machine Co Ltd | Holding of shuttle of suturing device for operation |
| DE10116171B4 (en) * | 2001-03-26 | 2005-06-02 | Philipp Moll | Endoscopic sewing machine |
| US8267947B2 (en) * | 2005-08-08 | 2012-09-18 | Abbott Laboratories | Vascular suturing device |
| US8821518B2 (en) * | 2007-11-05 | 2014-09-02 | Ceterix Orthopaedics, Inc. | Suture passing instrument and method |
| US20100130990A1 (en) * | 2007-07-03 | 2010-05-27 | Saliman Justin D | Methods of suturing and repairing tissue using a continuous suture passer device |
| JP7141721B2 (en) * | 2016-11-13 | 2022-09-26 | アンコラ メディカル リミテッド | Minimally invasive tissue suturing device |
| CA3052298C (en) * | 2017-02-22 | 2021-12-21 | Boston Scientific Scimed, Inc. | Suture based closure device |
| CN114760935A (en) * | 2019-12-05 | 2022-07-15 | 诺芙拉德有限公司 | Suturing system and components thereof |
-
2020
- 2020-08-10 US US17/631,509 patent/US20220265268A1/en active Pending
- 2020-08-10 CN CN202080056267.6A patent/CN114206230A/en active Pending
- 2020-08-10 WO PCT/IB2020/057513 patent/WO2021024236A1/en unknown
- 2020-08-10 JP JP2022500747A patent/JP2022544448A/en active Pending
- 2020-08-10 EP EP20850776.4A patent/EP4009881A4/en active Pending
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