47 results about "Continuous suture" patented technology

A free loop knotless suture anchor assembly for attachment of tissue to bone mass. The assembly includes a continuous suture loop and an anchor means for capturing portions of the loop with a snag means or recess thereon or therein the anchor means. Once the loop is captured, the anchor is inserted securely into a bone mass which facilitates in a repair of the torn away soft tissue.

A suture anchor for securing soft tissue to bone, including a body and a continuous suture loop. The body extends along a longitudinal axis between opposing first and second ends, and has an external threaded portion extending coaxial with the axis, and a bore extending from the second end towards the first end. The continuous suture loop is secured within the bore of the body so that at least a portion of the loop extends from the second end of the body to form an eyelet.

Described herein are methods of repairing tissue using a continuous suture passer. In particular, described herein are methods for forming complex suture patterns using a continuous suture passer. The continuous suture passer is typically configured so that the tissue penetrating element (e.g., needle) may be completely withdrawn into the device. The continuous suture passer may be configured as a grasper having two jaws, wherein the tissue penetrating member may pass the suture between the two jaws. The jaws may open and close so that the tissue contacting surfaces of the jaws are parallel, and so that the suture may be passed between the jaws when they are in any position.

In one embodiment, a continuous suture passer device may include a first jaw, a second jaw, a tissue penetrator which may penetrate through tissue positioned between the first and second jaws, and a suture shuttle which may be releasably secured to the tissue penetrator and adapted to carry a suture. Further, the device may include an actuator which may manipulate at least one of the first or second jaws and the tissue penetrator, and the second jaw may have a suture shuttle retainer seat on which the suture shuttle may be releasably secured. The tissue penetrator may be movable towards the second jaw such that the suture shuttle carried by the tissue penetrator may be transferred to the shuttle retainer seat on the second jaw. Additionally, the first and second jaws may be substantially parallel to one another at any position to which the at least one jaw is manipulated. Additionally, the tissue penetrator may travel along an arcuate path from a first position, recessed within the first jaw, to a second position where the tissue penetrator extends through the tissue to be positioned in communication with the second jaw. Further, the at least one jaw may be manipulated such that it travels along a path that is substantially the same arcuate path traveled by the tissue penetrator. A method for passing a suture through tissue includes manipulation to transfer a suture shuttle adapted to carry a suture between a tissue penetrator and a second jaw.

Suture passers for suturing tissue in a continuous manner by passing a suture attached to a suture shuttle through. A suture passer may include a first jaw, a second jaw, and a tissue penetrator that is retractable and extendable from the first jaw. The tissue penetrator may have a suture shuttle engagement region, and the second jaw may include a shuttle dock. The suture shuttle may be transferred between the first and second jaws as the tissue penetrator is extended from the first jaw and engages the second jaw. In some variations of the tissue passer, one or both jaws are tissue penetrating. In some variations, the jaws open in parallel, allowing large tissue regions to be positioned between the jaws. Methods of using these devices are also described, as are systems and kits including these devices.

A method of treating a patient in cosmetic surgery, using first and second hollow tubular surgical members and a suture to be surgically inserted under the patient's facial skin, including the following steps: cutting a single incision in the patient's facial skin adjacent to the area of the ear; threading the first and second hollow tubular members with a continuous suture having thereon a plurality of spaced-apart, movable cross sutures; inserting the insertion tip with the threaded suture through the incision and under the facial skin, toward the patient's fold line in the nasal area; removing the second hollow tubular member from the first hollow tubular member and from the nasal area and out through the single incision, while leaving in place the suture and the plurality of cross sutures so they are disposed in the facial tissue; pulling on the proximal tip of the suture which is extending out of the incision in order to pull the plurality of cross sutures in the facial tissue which causes the cross sutures to move from their substantially parallel relationship to the suture so that they are moved to a position which is substantially perpendicular to the suture in order to engage and anchor the cross sutures in the facial tissue; pulling and tieing off the suture in the area of the incision which operates to pull the facial tissue and the facial fold line more tightly in order to minimize the appearance of the facial fold line in the nasal area.

In one embodiment, a continuous suture passer device may include a first jaw, a second jaw, a tissue penetrator which may penetrate through tissue positioned between the first and second jaws, and a suture shuttle which may be releasably secured to the tissue penetrator and adapted to carry a suture. Further, the device may include an actuator which may manipulate at least one of the first or second jaws and the tissue penetrator, and the second jaw may have a suture shuttle retainer seat on which the suture shuttle may be releasably secured. The tissue penetrator may be movable towards the second jaw such that the suture shuttle carried by the tissue penetrator may be transferred to the shuttle retainer seat on the second jaw. Additionally, the first and second jaws may be substantially parallel to one another at any position to which the at least one jaw is manipulated. Additionally, the tissue penetrator may travel along an arcuate path from a first position, recessed within the first jaw, to a second position where the tissue penetrator extends through the tissue to be positioned in communication with the second jaw. Further, the at least one jaw may be manipulated such that it travels along a path that is substantially the same arcuate path traveled by the tissue penetrator. A method for passing a suture through tissue includes manipulation to transfer a suture shuttle adapted to carry a suture between a tissue penetrator and a second jaw.

Methods of repairing knee meniscus tears are described which use suture passer devices and suture shuttles. These methods may be used with continuous suture passing, so that the suture passer device may remain on or in the tissue while passing a suture shuttle, and therefore a suture, back and forth from one side of the tissue to the other. These methods may be used minimally invasively for repairing meniscus tissue while avoiding further damage to the meniscus.

Described herein are meniscus suture passers for repair of the meniscus of the knee. These devices are typically continuous suture passers that may include an elongate body having a pair of arms. One or more of the arms may be angled or bent at the distal end region relative to the long axis of the device, forming a distal-facing opening that is configured to fit meniscus tissue. One or both arms may be movable in the axial direction (e.g., the direction of the long axis of the device). The devices typically include a tissue penetrating element housed within one of the arms but configured to extend across the distal opening between and communicate with one or more docking regions on the opposite arm to alternately retain and release a suture (or a suture connected to a suture shuttle). Thus, a suture may be passed from a first side of the tissue to a second side and back to the first side multiple times.

Described herein are methods and devices for use in repair of a patient's anterior cruciate ligament (ACL). These methods (and devices for performing them) allow the repair, rather than merely replacement, of the ACL. For example, described herein are anchoring devices that may be inserted into a bone and may anchor a scaffolding / support (e.g., graft) material within the bone so that the torn or damaged end of the ACL may be secured to the scaffolding / support material within the femoral notch. These anchoring devices and method of using them are particularly well suited for use with the continuous suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

Methods of repairing knee meniscus tears are described which use suture passer devices and suture shuttles. These methods may be used with continuous suture passing, so that the suture passer device may remain on or in the tissue while passing a suture shuttle, and therefore a suture, back and forth from one side of the tissue to the other. These methods may be used minimally invasively for repairing meniscus tissue while avoiding further damage to the meniscus.

Described herein are methods and devices for use in repair of a patient's anterior cruciate ligament (ACL). These methods (and devices for performing them) allow the repair, rather than merely replacement, of the ACL. For example, described herein are anchoring devices that may be inserted into a bone and may anchor a scaffolding / support (e.g., graft) material within the bone so that the torn or damaged end of the ACL may be secured to the scaffolding / support material within the femoral notch. These anchoring devices and method of using them are particularly well suited for use with the continuous suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

Disclosed is a T-fastener delivery device. The device includes a belt and a pusher rod. The belt includes a plurality of slots for holding a plurality of T-bars substantially parallel to one another in a side-by-side arrangement; and the belt is moveable such that the slots can be sequentially aligned with the pusher rod. Also disclosed are methods for creating a gastric pouch in the stomach of an obese patient and methods for reducing lower esophageal sphincter distraction with gastric filling in a subject. Suturing systems are also disclosed One suturing system includes a plurality of T-fasteners and a continuous suture connecting the plurality of T-fasteners. The T-fastener comprises a cylindrical bar having a filament loop attached thereto substantially at the cylindrical bar's axial midpoint, and the continuous suture slidably passes through the T-fasteners' filament loops. Another suturing system includes a plurality of T-fasteners; and a continuous suture connecting the plurality of T-fasteners. The T-fastener comprises two cylindrical bars connected by a filament, and the continuous suture slidably passes through a loop formed by the T-fasteners' filaments.

An inventive flanged graft for end-to-side anastomosis includes a tubular graft member and a flanged section The type and size of the flanged section is determined by various factors such as identity of the receiving artery, position of the arteriotomy on the receiving artery, and luminal diameter of the graft. The graft is preferably anastomosed to the receiving artery using continuous sutures to join the arteriotomy to the peripheral edges flanged section.

The present invention relates generally to continue driver device with changeable parameters, more specifically, continues driver with changeable parameters used in surgical procedure such as suturing, wherein said continues driver device is employed in as continuous suture rotational needle driver which enhances the tissue suturing procedure, particularly the one performed on restricted, deep and less accessible locations. The device incorporates a plurality of interactive portion comprising several extended member wherein in said extended members are provided with rotational needle driving points at a distal end into a single device and is operated by the twist of a single knob. The use of the mechanism prevents problems associated with loss of needle control during the suturing procedure as well as the ones associated with the handedness of existing needle drivers.

An inventive flanged graft for end-to-side anastomosis includes a tubular graft member and a flanged section The type and size of the flanged section is determined by various factors such as identity of the receiving artery, position of the arteriotomy on the receiving artery, and luminal diameter of the graft. The graft is preferably anastomosed to the receiving artery using continuous sutures to join the arteriotomy to the peripheral edges flanged section.

The invention discloses a portable needle-holding stitching device for cavity mirror. The portable needle-holding stitching device comprises a handle body and an arc-shaped needle, wherein a pair of rotating forceps arms matched with each other are arranged on the first end of the handle body, a first driving device and a second driving device, which drive the inner ends of a pair of the rotatingforceps arms to rotate around the handle body are respectively arranged on the second end of the handle body; the outer end of the rotating forceps arms is provided with a pinhole for the arc-shaped needle to pass through; the pinhole is internally provided with a one-way limiting device which limits the arc-shaped needle to penetrate through the pinhole in a one-way way, and the sides of the over-hole are also provided with slots for withdrawing the suture respectively. The portable needle-holding stitching device for cavity mirror reduces the pulling damage to the tissue during stitching. And after the suture passes through the tissue, the needle is not required to be taken out of the body cavity to be re-clamped, but only needs to rotate the forceps arm repeatedly around the handle body, then the needle can be repositioned for the next stitch which is beneficial to continuous suture or the eight-word suture.

The invention relates to a continuous suture device used for suture operation under a laparoscope. The continuous suture device comprises a suture reel base, a suture reel, a needle cylinder, a sutureneedle and a driving mechanism. The suture reel base is arranged at one end of the needle cylinder. The suture needle is arranged in the needle cylinder, and a syringe needle of the suture needle extends out of one end of the needle cylinder; a suture reel containing cavity extending to two ends of the suture reel base is arranged in the suture reel, the suture reel is arranged in the suture reelcontaining cavity, a uniting cavity is formed in the end close to the suture needle, and the side wall of the suture reel base is provided with a suture outlet groove. The end, close to the needle cylinder, of the suture reel base is provided with a separating structure; the driving mechanism is in driving connection with the suture needle and can drive the suture needle to axially move into theuniting cavity of the suture reel in the axial direction of the needle cylinder, so that the syringe needle is clamped with the uniting cavity, or the suture needle is driven to move and return, the driving mechanism synchronously drives the suture needle to rotate at 90 degrees in the moving and returning process and brings the suture reel out, or the syringe needle and the uniting cavity are separated under the effect of a separating structure. The continuous suture device has the advantages of being capable of reducing the difficulty of a suture technology and shortening an operation period.

The invention provides an endoscope suture instrument comprising an sheath, a suture needle, a first driving component, a second driving component and a steel wire, wherein the projections of both the sheath and the suture needle are C-shaped, the sheath is provided with an arc-shaped groove fit with the diameter of the suture needle on the inner side, the arc-shaped groove is in contact with the outer side of the suture needle, inner teeth are arranged on the inner side of the suture needle, the first driving component and the second driving component are fixed on the sheath and movement transmission tail end of each of the first and second driving components is engaged with the inner teeth on the suture needle, and the tail end of the steel wire is Y-shaped and divided into two branches respectively connected with the first driving component and the second driving component to serve as power elements of the first driving component and the second driving component. The first driving component and the second driving component drive the suture needle to rotate to one direction in relays; the sheath plays a role in guiding the movement of the suture needle; the steel wire moves to and fro to driving the suture needle to rotate; the endoscope suture instrument is reasonable in structure, and the suture needle is good in continuous suture operability.

The invention discloses a traction type endoscope suture needle holder, which comprises a suture head, a forceps rod body and a forceps handle seat, wherein the forceps rod body is of a hollow pipe body structure; the suture head is arranged at the front end of the forceps rod body; the forceps handle seat is arranged at the rear end of the forceps rod body; forceps handles are arranged at the bottom of the forceps handle seat; the clamp handles comprise a first forceps handle and a second forceps handle, wherein the first forceps handle is fixed at the bottom of the rear side of the forceps handle seat and extends downwards; the upper end of the second forceps handle is hinged at the bottom of the forceps handle seat and is positioned at the rear side of the first forceps handle; in conclusion, the suture work is finished through a series of mechanical assemblies, the suture efficiency is high, after one stitch is sewed, a suture needle is directly in a standby state, the posture adjusting time of clamping the suture needle again is omitted, and rapid and continuous suture can be achieved.

Suturing techniques and sutures capable of reducing the incidence of incisional herniae, including but not limited to subcutaneous surgical sutures performed after laparotomy. Such a suture includes a circular suture having at least first portions that are within a first region of tissue of a suture area that further contains rows of puncture sites aligned approximately parallel to an incision on opposite sides of the incision. The first region of tissue is located between the rows of puncture sites and surrounds the incision, and the first portions of the circular suture extend along the rows of puncture sites. The suture further includes a continuous suture in the suture area that penetrates the puncture sites and traverses the incision. The circular suture disperses stresses induced by tension in the continuous suture to inhibit tearing of tissue at the puncture sites.

The dura mater continuous suturing device comprises a suturing head, the suturing head comprises a needle inserting device, a clamping device and a thread hooking device, the clamping device is composed of a clamping plate, the dura mater continuous suturing device further comprises an operator, the operator comprises a needle inserting switch and a clamping switch, a connecting cylinder is arranged between the suturing head and the operator, and the needle inserting switch comprises a first grip and a second grip. The first grip is fixedly connected with the connecting cylinder, the upper end of the second grip is hinged to the upper end of the first grip, the second grip is connected with the thread hooking device through the first transmission mechanism, the clamping switch is hinged to the connecting cylinder, and one end of the clamping switch is connected with the clamping device through the second transmission mechanism. According to the dura mater continuous suturing device, the time-saving, labor-saving, safe and reliable continuous suturing device is provided for existing suturing operation of the dura mater, the structure is simple, the production cost is low, extra consumable expenditure is reduced, and the dura mater continuous suturing device can be applied to clinical application on a large scale.

The invention relates to a suction type suture packaging clamp and a winding process thereof. The suction type suture packaging clamp comprises a base plate, a paper cover board and a needle fixing gasket. The base plate is provided with a continuously-surrounding protruding strip and a groove, the paper cover board is fixed to the base plate in a pasted mode, a continuous suture sliding track is formed between the paper cover board and the base plate, an air suction port is formed in the part, corresponding to the outer end of the suture sliding track, of the paper cover board, and the inner end of the suture sliding track serves as a suture suction port. A hollow window is formed in the middle of the paper cover board, and the needle fixing gasket is pasted on the base plate through the hollow window. Evacuation is carried out through a suction gun, a suture is naturally wound in the suture sliding track, and thus the winding function of the suction type suture packaging clamp is achieved. The suction type suture packaging clamp is simple in structure and easy to machine, the assembly time for winding the suture in the clamp is greatly shortened, and automatic packaging is facilitated. When the suction type suture packaging clamp is used in an operation, the suture is convenient to pull and is natural and smooth without knotting after being pulled out.

The invention discloses a deep tissue continuous suturing tool matching with a microscope or an endoscope in use, which is applied to the technical field of medical devices. The deep tissue continuous suturing tool comprises a pair of tweezers and a rotary shaft driving mechanism, wherein the tweezers comprise an upper tweezers body, a lower tweezers body and a handle fixedly connecting the upper tweezers body and the lower tweezers body, a shaft sleeve is arranged on the upper tweezers body, a rotating shuttle mechanism is arranged at a remote end of the shaft sleeve and comprises a rotating shuttle and a line shaft, a rotary shaft capable of driving the rotating shuttle to rotate is arranged in the shaft sleeve, a suturing needle correspondingly matching with the rotating shuttle mechanism is arranged at the remote end of the lower tweezers body, and a needle hole is formed in a tip of the suturing needle. The upper tweezers body and the lower tweezers body are pressed down and then are loosened, the rotary shaft driving mechanism can rotate a circle around the rotating shuttle, and meanwhile, the suturing needle and the rotating shuttle mechanism match to complete once suturing operation. The deep tissue continuous suturing tool imitates the design of the tweezers usually used in a surgery deep operation, so that the use is convenient, the space occupation rate is minimum, components are simple, a purpose of repairing devices by simply changing the components is achieved, and meanwhile, situations that excessive suturing and tissue injury caused by operation errors during the using of external power are avoided.

The invention discloses a rake-type pulling hook for surgery continuous suture, wherein the pulling hook is made of medical stainless steel or titanium alloy; the upper part of the pulling hook is thicker, prism-shaped and a pulling hook handle; the lower part of the pulling hook is a finer cylindrical rod, which is a pulling hook rod; and two guy hooks arranged in parallel and deflecting a certain angle are arranged at the tail end of the pulling hook rod so as to form the rake-type pulling hook. In the suture time, threads are hung each line hanging hook every 3-4 needles; when the line is tightened, the threads are orderly taken down; the threads and the pulling hook are tightened; and when suturing wound, the wound can be sutured for a plurality of needles, and the rake-type pulling hook helps to ensure uniform thread tension.

The invention relates to a pelteobagrus fulvidraco male testis regeneration method. The method includes the following steps: immersing dissection tools and stitching tools in absolute ethyl alcohol for disinfection; anesthetizing pelteobagrus fulvidraco male; dissecting the abdominal cavity along the abdomen center line with a dissecting knife, wherein the length of a dissected opening is 2-3cm; after the abdominal cavity is dissected, using tweezers to open the abdominal cavity, after the testis is fully exposed, taking out part of the testis with the tweezers and bent-head scissors, and reserving a spermatogenic area of the testis in an experimental fish; adopting a continuous suture method for stitch the peritoneum, the abdominal muscle and the skin; shifting the postoperative experimental fish into fresh and clean water to enable the experimental fish to recover from the anesthesia state; after the experimental fish is domesticated and cultivated for a period of time, and when the spermatogenic area of the testis can reproduce sperms, taking a new testis of the experimental fish. By the method, misfortune of slaughtering of parent pelteobagrus fulvidraco male can be avoided, reproduction can be realized by the method, and accordingly utilization efficiency of the pelteobagrus fulvidraco male is improved.