WO2004037463A1 - Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument - Google Patents

Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument Download PDF

Info

Publication number
WO2004037463A1
WO2004037463A1 PCT/US2002/034094 US0234094W WO2004037463A1 WO 2004037463 A1 WO2004037463 A1 WO 2004037463A1 US 0234094 W US0234094 W US 0234094W WO 2004037463 A1 WO2004037463 A1 WO 2004037463A1
Authority
WO
WIPO (PCT)
Prior art keywords
tie
instrument
handle
gripper
bone
Prior art date
Application number
PCT/US2002/034094
Other languages
English (en)
Inventor
Hua Gao
James A. Rinner
Original Assignee
Beere Precision Medical Instruments, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Beere Precision Medical Instruments, Inc. filed Critical Beere Precision Medical Instruments, Inc.
Priority to AU2002348055A priority Critical patent/AU2002348055A1/en
Priority to US10/490,583 priority patent/US7131467B2/en
Priority to PCT/US2002/034094 priority patent/WO2004037463A1/fr
Publication of WO2004037463A1 publication Critical patent/WO2004037463A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8869—Tensioning devices
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8861—Apparatus for manipulating flexible wires or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A61B17/823—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage for the sternum
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures

Definitions

  • This invention relates to an instrument for applying a tie to two items and method of making same. More particularly, it relates to an instrument and the method wherein a tie is pulled for drawing the two items together, and the tie is then fixedly twisted onto itself for securing it to the items. This instrument is thus utilized in helically twisting a tie, wire, suture, or the like onto itself after the tie is secured to the item to be tied.
  • a tie such as a wire, suture, cable, or like strand capable of being secured onto itself by twisting
  • a tie such as a wire, suture, cable, or like strand capable of being secured onto itself by twisting
  • One such condition is in the medical field where a patient's sternum has been separated for heart surgery and it is then necessary to pull the separated parts of the sternum together and to then twist sutures onto the sternum to hold the sternum together for natural healing by knitting.
  • the present invention is particularly useful in the medical field under conditions where any bone is separated, and it will be basically described in that context. Of course, it will also be disclosed for and cover applications in any field where a tie is to twisted onto itself for securement.
  • the present invention provides and instrument, and method of making same, wherein a tie or suture can -be readily and accurately installed on items or bone and then tensioned to draw the items or broken bones together and to ultimately twist the tie or suture onto itself in a helical pattern to tie the items or bones together.
  • the twisting is accomplished by progressively twisting along the tie in even knots and without the incidence of breaking the tie during twisting.
  • the items or bones are drawn together and the tie or suture is then twisted onto itself.
  • the tie is strung and connected to the exterior of the instrument, and it is not strung through the interior of .an instrument.
  • the stringing and attaching of the wire are easily and accurately accomplished relative to the instrument.
  • the wire tie or suture is strung in a position to effect optimum pulling force on the items or bone for drawing the items together under easily applied tension in the tie.
  • the tensioning of the tie is accomplished by a squeezing action through the hand of the user, and, with that same squeezing grip on the instrument, the user can also twist the tie onto itself in a helical pattern. With only one gripping action by the user, the tie tensioning and initial twisting are accomplished. So there is the initial tensioning in the tie to draw the items or bone together, and there is then the twisting of the tie while maintaining that tension, and then a rotation action is applied to form the helical twisting of the tie to secure the tie on the items or bone.
  • the various parts of the instrument are easily and reliably manufactured and they are also easily and reliably assembled. These and like desirable accomplishments are important because they permit the instrument to be made with a minimum of expense for material and instrument parts and minimum skill both in manufacturing and in assembling the instrument.
  • this instrument can be considered to be a disposable instrument with a one-time usage, and that is particularly important in the medical field where sterility and expense are usually significant where a long lifetime instrument is made. While the instrument is sufficiently sturdy to apply the required pull and twist actions, the instrument can be made of plastic material .
  • Fig. 1 is a front elevation view of the instrument of this invention, showing it with a tie and being applied to a separated sternum, the remaining views are without the tie and sternum.
  • Fig. 2 is a right side perspective view of Fig. 1.
  • Fig. 3 is a right side elevation view of Fig. 1.
  • Fig. 4 is a bottom perspective view of Fig. 1.
  • Fig. 5 is a section view taken on a plane designated by the line 5-5 of Fig. 2, but with two parts at the lower end in positions different from those of Fig. 2.
  • Fig. 6 is a section view taken on a plane designated by the line 6-6 of Fig. 3.
  • Fig. 7 is a bottom perspective view of two Fig. 4 parts.
  • Fig. 8 is a top perspective view on one part of Fig. 7.
  • Fig. 9 is a top perspective view of one part of Fig. 7.
  • Fig. 10 is an enlarged front perspective view of a part seen at the bottom of Fig. 2, but from the back side.
  • Fig. 11 is an enlarged front view of a part at the lower end of Fig. 1.
  • Fig. 12 is an enlarged perspective view of a part at the lower end of Fiq. 2.
  • Fig. 13 is a top plan view of Fig. 12.
  • this invention is useful in the medical field, and it is described in that context. However, it will be readily understood that the invention applies to any field for pulJ-ing and twisting a tie or strand for securing two items together.
  • a generic use of the words tie, strand, suture, wire or the like is employed because any such line- type material capable of being tensioned for pulling on two separated items to pull them together, and to then hold them together, and twisting the strand in a helical pattern onto itself, applies in this invention.
  • the strand is capable of being flexed and retain its flexed position, such as being helically twisted onto itself for binding.
  • this instrument will be found to be useful in various applications of twisted strands and they are included in this coverage.
  • Fig. 1 shows the instrument being applied to two separated portions 10 and 11 of a sternum with shown ribs and the patient's skin.
  • a tie 12 is strung through the sternum and is crossed upon itself at the longitudinal axis A and extends in two upright portions 13 and 14 , and the strand has two terminal ends 16 and 17.
  • the shown instrument is in contact with the tie 12 at least adjacent the crossover location 18.
  • the surgeon would string the tie 12 as disclosed, and that cold be by forceps guiding the tie through the sternum and crossing the tie onto itself and attaching the tie ends to the instrument, all as shown.
  • the tie adjacent the sternum extends in substantially horizontal extents which are substantially transverse to the axis A and can be less than five degrees off the horizontal.
  • the force on the sternum will be at the optimum angle to pull the sternum parts 10 and 11 toward each other, that is, to pull the sternum together for its subsequent healing. That is all achievable because the instrument has a narrow lower end which can be accurately directed and positioned close to the sternum.
  • this instrument can be employed for pulling together separated parts of many other materials, other than for use only in the medical field. It could be used in any project where a tie is to be applied to pull parts together and to subsequently twist the tie onto itself and relative to the parts.
  • the material of the tie can be stainless steel, such as in the medical use, and it can also be any material capable of withstanding adequate tension for the project, and it is capable of flexing and twisting onto itself and retaining the twisted position in multiple helical twists extending progressively away from the closed parts, such as in the art of manual twisting of wire onto a sternum. In this description relative to a sternum, or other bone, the tie is considered to be a suture, and in all instances the tie is a strand of suitable material for the closer project.
  • the instrument can be made of suitable plastic material , such as by molding, and it is shown to consist of only six parts, namely, a first handle 21, a second handle 22, a stable handle 23, a tie gripper 24, a tie engaging head 26, and a cranking knob 27. It can be made and assembled without any threaded fasteners or the like, and the parts can be latched or snapped together, as shown.
  • the handle cross portions 31 and 32 are disposed to be within the span or reach of the user's one hand which thus simultaneously spans the two portions 31 and 32. So one hand guides the instrument while the other hand can be used to string the tie onto the instrument, as shown in Fig. 1 in the shown tie extents.
  • the handles 21 and 22 are T-shaped with respective stems 28 and 29 telescoped and slidable relative to each other along axis A, and the handles have respective cross portions 31 and 32.
  • the handle stems 28 and 29 are suitably nested together and they can be rectilinear in cross section so they remain in their rotated positions relative to each other and about axis A, and they do no rotate about each other, though they do rotate together in unison about axis A.
  • the crank knob 27 is used to apply rotation to the handle 21 and thus also to the handle 22.
  • the lower end of the handle 21 is slightly flexible and it has a barb or detent 36, as seen in Figs. 5, 7, and 9, and the handle 21 snaps into engagement with the tie head 26 by having the detent 36 received in a notch or opening 37 in the head 26. In that manner, the head 26 is assembled with and actually can be readily released from the handle 21.
  • the head 26 has a compound curved surface 38 at its lower end, and it is that surface 38 that can engage and guide the tie 12 which therefore nests with the guide 26.
  • the guide 26 also has two slots 39 spaced from the axis A and on opposite sides thereof for receiving the tie 12 which is strung into the slots 39.
  • the guide 26 is attached to the handle 21 , and they have the respective rectilinear cross sections consisting of the female opening 41 on the guide 26 and male extension 42 on the handle 21 , shown for stabilizing the guide 26 on the handle 21 through a snug relationship.
  • knob 27 attaches to a post 43 on the handle 21 through a barb 44 on the post 43 for the knob 27 to be rotatable on the post 21 for the cranking action of turning the two handles 21 and 22 and the guide 26, all as one unit .
  • the tie gripper 24 is attached in the assembly by having a rectilinear opening 46 through which two flexible legs 47 of the handle 22 pass for rotational drive connection between the handles 21 and 22 and the gripper 24.
  • the respective leg 47 is slidable in a longitudinal groove 50 on each side of the handle 21, as seen in Fig. 7.
  • the gripper 24 has two downwardly facing slots 48 and the handle 22 has two pins 49 which are positioned into the respective slot 48.
  • the handle 22 has two projections 51 above the pins 49 and spaced from the pins 49 the amount of the wall height 52, between the slots 48 and the top surface 53 of the gripper 24.
  • the gripper is trapped between the pins 49 and the projections 51 , so it is axially set relative to the handle 22. This can be a snap fit, and the pins 49 and projections 51 are on the two relatively flexible legs 47 on the handle 22.
  • the gripper 26 has two tie gripping portions which include two V-shaped slots 56 'for receiving the tie 12. Also, two side guide bars 57 flank each slot 56 to constrict the tie 1 relative to the slots 56 and thereby assure secure gripping of the tie 12. As seen in Figs. 5 and 6, the gripper 24 is against the handle legs 47 , so it can not move or rock in that plane, but it is slightly clear in the other direction at 58, as seen in Fig. 6, so it can rock in that plane. That rocking direction is compatible with the location of the V-slots which hold the tie 12, so, upon pulling on the tie 1 , as hereinafter explained, the gripper will rock to self-adjust to the tension in it and thereby apply an even pulling force relative to the two tie ends 13 and 14. That assures that the following twisting will be on center and even and progress along the axis A.
  • Fig. 5 and 6 also show that the stabilizing handle 23 is piloted on the handles 21 and 22.
  • the handle 23 is cylindrical and has two axially aligned hollow interiors 59 and 61 , and it telescopes over the lower ends of the handles 21 and 22.
  • a circular flange 62 on the handle 22 is snugly received in the handle hollow 59, for guidance, and the widest part of the handle 22 is received in the hollow 61 , all for rotatably mounting the handle 23 relative to the handles 21 and 22.
  • the arrangement is such that in the cranking action for the twisting mentioried, the handle 23 is gripped by the user's one hand while the other hand operates the crank knob 27 to rotate the instrument about the axis A. The entire instrument rotates, except for the handle 23, and the tie orbits the axis A.
  • the handle 23 is free to move slightly along the axis A. and it will rest downwardly on the projections 51, as seen in Figs. 1 and 5, and it can move upwardly to be stopped by the flange 62.
  • the gripper 24 has two depending legs 63 which are flexible and flat in one plane thereof as seen in Figs. 2 and 3.
  • Fig. 10 shows that the guide had two upwardly facing pockets or notches 64, or there can be any entrapment, and each receives the lower and outward turned end 66 of each leg 63.
  • the structure is such that the gripper 24 can be lowered toward the guide .26, by virtue of lowering the handle 22, and the ends 66 can be squeezed toward each other to be received by the notches 64.
  • the gripper is then being held level relative to the entire instrument, and, because at that time the gripper slots 39 are closest to the guide 26, the tie can be snugly applied onto the instrument.
  • the wide legs 63 act as a restrictor and thereby stabilize the gripper 24 against the rocking action mentioned and lock the device at neutral position for capturing the tie or wire. That construction provides for a releasable attachment between the instrument and the gripper 24, and the release is automatic.
  • the handle 22 and its gripper 24 are frictionally held downward toward the guide 26 and they are then generally lowered relative to the remainder of the instrument.
  • the entire instrument can be pressed downward while the tie is being strung, and it can then be snugly strung.
  • the gripper 24 and the guide 26 move away from each other and they put tension into the tie 12, and they pull the tie 12 on the separated parts in the horizontal direction, as mentioned at the outset.
  • one-half turn of the entire instrument is made about the axis A to move the tie about the cross-over location and thereby secure the tie in what is then one full turn. It will be noticed that there is therefor a releasable attachment for the gripper 24, and the release is automatic.
  • the sequence of events can be: the instrument is aimed at the separated parts with the gripper 24 positioned in its lowered positioned; the tie 12 is strung onto the instrument relative to the guide 26 and the tie crosses itself in a selected cross-over direction and the tie is strung through the gripper slots 56; lifting up on the instrument through handle 21 adjusts tension in the tie; squeezing handles 21 and 22 together pulls on the tie to pull the separated work piece parts together; rotating the instrument one-half turn in a continuation of the cross-over direction creates the first twist and securely binds; holding at stabilizing handle 23 and lifting up on it and rotating crank knob 27 causes the tie to twist further onto itself and along axis A; release the tie from the instrument and trim the tie as desired.
  • the method assembly steps can include providing the first handle 21 with its barb 36, or suitable connector, and its knob 27 will eventually be attached; stabilizing handle 23 can be telescoped onto handle 22 from underneath by inwardly flexing handle legs 47 and moving handle 23 to where it is above the projections 51, as shown in the assembly views; gripper 24 can be slid onto the lower end of the handle 22, again having the legs 47 flex inwardly for necessary clearance, and the projections 51 will be above the gripper surface 53 and the pins 49 will be in the gripper slots 48; handle 21 can be slid into handle 22 with the grooves 50 receiving the legs 47 of the handle 22; and guide 26 can be slid onto the lower end of handle 21 to engage the barb 36 in the guide slot 37.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un instrument permettant d'appliquer une attache (12) à deux articles (10, 110) et procédé de fabrication de cet instrument. Cet instrument est agencé de façon à rapprocher deux os séparés ou d'autres articles et à les attacher ensemble par la torsion d'une attache sur ces articles. Cet instrument peut être constitué de plastique et il nécessite aucune pièce filetée. Il peut posséder deux poignées avec un dispositif de saisie d'attache (24) et un guide d'attache (26) situés sur les poignées respectives qui peuvent être serrées entre elles de façon à tirer sur une attache afin de rassembler des articles séparés. Ces poignées tournent ensemble et il peut exister un maneton (27) destiné à effectuer la rotation et tordre ainsi l'attache sur les articles.
PCT/US2002/034094 2002-10-24 2002-10-24 Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument WO2004037463A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2002348055A AU2002348055A1 (en) 2002-10-24 2002-10-24 Instrument for applying a tie to two items and method of making same
US10/490,583 US7131467B2 (en) 2002-10-24 2002-10-24 Instrument for applying a tie to two items and method of making same
PCT/US2002/034094 WO2004037463A1 (fr) 2002-10-24 2002-10-24 Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2002/034094 WO2004037463A1 (fr) 2002-10-24 2002-10-24 Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument

Publications (1)

Publication Number Publication Date
WO2004037463A1 true WO2004037463A1 (fr) 2004-05-06

Family

ID=32173971

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/034094 WO2004037463A1 (fr) 2002-10-24 2002-10-24 Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument

Country Status (2)

Country Link
AU (1) AU2002348055A1 (fr)
WO (1) WO2004037463A1 (fr)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2474363A (en) * 2009-10-09 2011-04-13 Acute Innovations Llc Cerclage wire tensioner
WO2018236843A3 (fr) * 2017-06-19 2019-01-31 Harpoon Medical, Inc. Procédé et appareil pour interventions cardiaques
US10765515B2 (en) 2017-04-06 2020-09-08 University Of Maryland, Baltimore Distal anchor apparatus and methods for mitral valve repair
US10864080B2 (en) 2015-10-02 2020-12-15 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
US11065120B2 (en) 2017-10-24 2021-07-20 University Of Maryland, Baltimore Method and apparatus for cardiac procedures
US11413033B2 (en) 2011-06-27 2022-08-16 University Of Maryland, Baltimore Heart valve repair using suture knots
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve
US11678872B2 (en) 2014-01-03 2023-06-20 University Of Maryland, Baltimore Method and apparatus for transapical procedures on a mitral valve

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3759302A (en) * 1971-08-19 1973-09-18 Nat Res Dev Wire fixing device
US3865155A (en) * 1972-09-26 1975-02-11 Span Fix Proprietary Limited Wire tensioning and tying tool means
US5449361A (en) * 1993-04-21 1995-09-12 Amei Technologies Inc. Orthopedic cable tensioner

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3759302A (en) * 1971-08-19 1973-09-18 Nat Res Dev Wire fixing device
US3865155A (en) * 1972-09-26 1975-02-11 Span Fix Proprietary Limited Wire tensioning and tying tool means
US5449361A (en) * 1993-04-21 1995-09-12 Amei Technologies Inc. Orthopedic cable tensioner

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2474363B (en) * 2009-10-09 2013-09-25 Acute Innovations Llc System for tensioning a surgical wire
US8679122B2 (en) 2009-10-09 2014-03-25 Acute Innovations Llc System for tensioning a surgical wire
GB2474363A (en) * 2009-10-09 2011-04-13 Acute Innovations Llc Cerclage wire tensioner
US11413033B2 (en) 2011-06-27 2022-08-16 University Of Maryland, Baltimore Heart valve repair using suture knots
US11678872B2 (en) 2014-01-03 2023-06-20 University Of Maryland, Baltimore Method and apparatus for transapical procedures on a mitral valve
US11672662B2 (en) 2015-10-02 2023-06-13 Harpoon Medical, Inc. Short-throw tissue anchor deployment
US10864080B2 (en) 2015-10-02 2020-12-15 Harpoon Medical, Inc. Distal anchor apparatus and methods for mitral valve repair
US11944540B2 (en) 2017-04-06 2024-04-02 University Of Maryland, Baltimore Delivery devices for forming a distal anchor for mitral valve repair
US10765515B2 (en) 2017-04-06 2020-09-08 University Of Maryland, Baltimore Distal anchor apparatus and methods for mitral valve repair
US11026672B2 (en) 2017-06-19 2021-06-08 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
WO2018236843A3 (fr) * 2017-06-19 2019-01-31 Harpoon Medical, Inc. Procédé et appareil pour interventions cardiaques
US11065120B2 (en) 2017-10-24 2021-07-20 University Of Maryland, Baltimore Method and apparatus for cardiac procedures
US11833048B2 (en) 2017-10-24 2023-12-05 Harpoon Medical, Inc. Method and apparatus for cardiac procedures
US11517435B2 (en) 2018-05-04 2022-12-06 Edwards Lifesciences Corporation Ring-based prosthetic cardiac valve

Also Published As

Publication number Publication date
AU2002348055A1 (en) 2004-05-13

Similar Documents

Publication Publication Date Title
US7131467B2 (en) Instrument for applying a tie to two items and method of making same
US6752810B1 (en) Instrument and method for pulling and twisting a tie onto two separated items
US7004951B2 (en) Cycling suturing and knot-tying device
US7338504B2 (en) Cycling suturing and knot-tying device
JP2024061787A (ja) 外部器具チャネルを有する内視鏡縫合システム
US7048748B1 (en) Automatic surgical suturing instrument and method
KR101665430B1 (ko) 인체공학적 회전식 택커
EP2941197B1 (fr) Dispositifs pour faire avancer des noeuds
CN101513338B (zh) 处理用内窥镜
US20160296219A1 (en) Motorized surgical instrument
US20140088368A1 (en) Surgical instrument, surgical mesh and surgical retraction means of the instrument, and surgical method using the instrument
US20030229361A1 (en) Stop-cock suture clamping system
WO2004086986A1 (fr) Dispositif de ficelage de noeuds et de suture cyclique reversible a verrouillage par bras de levier
WO2002011622A1 (fr) Attache pour suture mise en forme, dispositif et procede a cet effet
BRPI0517428B1 (pt) instrumento de fixação para um grampo para retalho cranial
JP2009511178A (ja) ヘリカルリテーナ、ヘリカルリテーナを用いるためのツール、および方法
JP2008514382A (ja) 縫合糸アンカー
WO2004037463A1 (fr) Instrument permettant d'appliquer une attache a deux articles et procede de fabrication de cet instrument
EP3089675B1 (fr) Dispositifs pour faire avancer des noeuds

Legal Events

Date Code Title Description
WWE Wipo information: entry into national phase

Ref document number: 10490583

Country of ref document: US

AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ OM PH PL PT RO RU SD SE SG SI SK SL TJ TM TN TR TT TZ UA UG US UZ VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR IE IT LU MC NL PT SE SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP

WWW Wipo information: withdrawn in national office

Country of ref document: JP

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)