36 results about "Primary suture" patented technology

For suture tying in a medical procedure including the use of an anchor that includes a suture locking device that includes a sliding pin guided by axial side slots formed in the locking device that forces the suture where the two ends thereof are inserted into the interior of the suture locking mechanism to drive the captured suture and pin to fit into a recess on the top of the suture locking mechanism such that the top of the pin binds the suture against the upper inner surface of the recess. The recess can be serrated to enhance the locking capability and the pin is polygonal shaped to provide side surfaces that run parallel to the wall of the recess to assure that the side portion of the pin does not fracture the suture and cause it to weaken. The locking of the suture is automatic upon the deployment of the anchor which actuates the pin into the locking position, thus eliminating the necessity of manually knotting the suture and improving the cinching of the tissue to the bone. The suture locking mechanism is usable for attaching tissue to the bone, tying tissue to tissue and the like. The disclosure also includes the method of deploying the combined anchor and suture locking device in a medical procedure.

An endovascular surgical device is disclosed for attaching an endovascular prosthesis to a vascular wall. The device includes a tubular member and an applicator device. The tubular member has longitudinal bands separated by slots that are configured to expand upon being placed in compression. The applicator device has a distal end with a rotary head for applying sutures. A portion of the suture is at least partially positioned in the rotary head. A method is described that includes positioning a prosthesis and an endovascular device within a portion of vascular wall that requires reinforcing or repairing. The tubular part is expanded, forcing the prosthesis and vascular wall to expand. The applicator device applies the suture to attach the prosthesis to the vascular wall. Additional sutures can be applied by removing the applicator device, attaching a second suture and repositioning the applicator device to attach a second suture.

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.

A surgical suturing device (10) having an axis extending between a proximal end and a distal end is operable to move a suture (32) through body tissue (34). A handle assembly (110) is coupled to an elongated shaft (14) having a hollow configuration. An actuating rod (16) is disposed to extend between the handle assembly (110) and the shaft (14). A thumb actuation assembly is coupled to a proximal end of the actuating rod (16) for moving the rod both axially and rotationally. A needle assembly (2) at the distal end of the actuating rod (16) is movable with the actuating rod (16) between an extended state and a retracted state and at various angular orientations. Bifurcated portions (24, 26) of the needle assembly (20) define a suture slot (28), the bifurcated portions having a proximate relationship when the needle assembly (20) is in the retracted state and having a separated relationship when the needle assembly (20) is in the extended state. The needle assembly (20) is biased to the retracted state and the bifurcated portions (24, 26) are biased to the separated relationship. A handle assembly (110) is operable to move the needle assembly (20) between a free suture state and a captured suture state. In an associated method of use, the needle is bifurcated to form at least one pair of arms (24, 26 or 26b, 38b) to define a suture slot (28).

A polymeric, surgical clip having first and second curved leg members joined at their proximal end by a hinge portion and movable from an open position to a closed position for securing and maintaining a desired amount of tension on a suture. A ridge protrudes from a portion of the inner surface of one leg and a groove is formed in a corresponding portion of the inner surface of the other leg. An eyelet extends through the ridge to engage a portion of a suture.

An implement for manipulating and cutting a knotted suture includes a body member having a handle at one end, and a knot-engageable section at the opposite end for engaging the knotted suture to be cut; and a cutting member carried by the body member and having an end portion formed with a cutting edge for cutting the knotted suture at a predetermined distance from the knot. The cutting member is movable along its longitudinal axis from a normal position to an actuated position for cutting the knotted suture. The knot-engageable section of the body member is formed with an axial bore for receiving the end portion of the cutting member when the cutting member is moved to its actuated position, and with an angled bore intersecting the axial bore at an angle to the longitudinal axis for receiving the knotted suture. The knot is located at one side of the angled bore and the suture to be cut extends through the angled bore to the opposite side, such as to permit hand-tensioning the knot and then cutting the suture by moving the cutting member to its actuated position.

An implement for manipulating and cutting a knotted suture includes a body member having a handle at one end, and a knot-engageable section at the opposite end for engaging the knotted suture to be cut; and a cutting member carried by the body member and having an end portion formed with a cutting edge for cutting the knotted suture at a predetermined distance from the knot. The cutting member is movable along its longitudinal axis from a normal position to an actuated position for cutting the knotted suture. The knot-engageable section of the body member is formed with an axial bore for receiving the end portion of the cutting member when the cutting member is moved to its actuated position, and with an angled bore intersecting the axial bore at an angle to the longitudinal axis for receiving the knotted suture. The knot is located at one side of the angled bore and the suture to be cut extends through the angled bore to the opposite side, such as to permit hand-tensioning the knot and then cutting the suture by moving the cutting member to its actuated position.

A cutting instrument having a body, a blade at a distal end of the body, and a mechanism for rotating the blade from a first to a second position. The instrument can be used in a method of retrograde drilling a hole in bone. The cutting instrument is provided with a mechanism (for example, a pin and a slot) that converts linear motion into rotational motion and locks the blade into position. The cutting blade is configured to engage the shaft of the instrument and to lock into the shaft. The cutting blade is articulated between at least a first “straight” position (for example, about parallel to the longitudinal axis of the instrument) when the instrument cuts in an antegrade manner, and at least a second “flip” position (for example, a non-parallel position relative to the longitudinal axis of the instrument) when the instrument cuts in a retrograde manner. The cutting blade may be provided with a suture passing notch. The cutter instrument may also include a button mechanism for controlling the linear movement.

This present invention provides a surgical rivet, a rivet deployment actuator, a rivet cutting instrument and a method for securing a prosthetic valve to the heart which has the potential to substantially decrease the ischemic time required for valve implantation and allow larger prostheses to be inserted in small annuli. The surgical rivet is comprised of two flexible preformed elements capable of assuming a preconfigured shape once it is delivered and secured with the deployment actuator. The deployment actuator is a reusable instrument that lowers the prosthesis to the annulus, secures the prosthesis with an “O” ring and cuts and deploys the flexible elements so that they rest on the sewing ring of the prosthetic valve. The present invention eliminates the tedious and time-consuming tasks of tying sutures which may be particularly difficult in small annuli. It also automatically cuts the sutures to the appropriate length. The use of single rivets allows for expansion to the annulus and insertion of one full size larger (2 mm) prosthesis than what is possible using the classical horizontal pledget mattress technique. This feature is of particular importance in small annuli where prosthesis / patient mismatch can lead to suboptimal long term results. 1

The present invention provides apparatuses and methods for performing minimally invasive diagnostic and surgical procedures inside of a beating heart. An assembly for use in performing such a medical procedure includes a port and a fluid transport device. The port has a housing configured for insertion through a chamber wall of a heart chamber, at least one valve disposed in the housing, and an inlet connected to the housing. The inlet has an inlet passage in fluid communication with a lumen of the housing. The fluid transport device has an end that attaches to the inlet of the port, another end that attaches to a fluid source, and a fluid channel therebetween to pass a fluid from the fluid source to the heart chamber. A method of preparing a beating heart for a diagnostic or medical procedure comprises the steps of inserting a cardiac port through a chamber wall of the beating heart and pressurizing the heart chamber with blood from the patient's artery. Repair of the heart's mitral valve can be effected by a stapled annuloplasty procedure. Where sutures are used in the diagnostic or surgical procedure, a suture cutting device for cutting a suture inside a beating heart can be used. The suture cutting device can include an elongated body having a lumen, a wall member extending into the lumen, and a knot-receiving chamber defined by a first area on a first side of the wall member. The wall member defines a channel therethrough dimensioned to permit passage of a suture and to prevent passage of a knot. A cutting implement is movably disposed in the lumen in a second area on a second side of the wall member opposite the first side. The cutting implement moves between a first position and second position to cut the suture. Movement of the cutting implement is limited to ensure that the cutting implement does not cut through the suture knot.

A device for repairing a meniscus or soft tissue. A needle having a suture strand attached thereto is affixed to the distal end of an introducer. The introducer is adapted to be inserted through a hollow main body to position the needle proximate a damaged portion of the meniscus. At the proximal ends of the introducer and main body, there is a thumb ring and a pair of finger rings that can be manipulated by the user to position the device and to pierce the meniscus with the needle. The needle is frictionally affixed to the introducer and can be removed by the user after piercing the meniscus and the outer skin of the patient. With the device, a pair of needles having a suture strand joining the needles can be inserted through the meniscus and across the damaged area and the strands of the suture affixed together.

An anchoring system is a combination of a nanofiber scaffold material and an arthroscopically deployable suture anchor. The anchor is deployed into a bone tunnel using common techniques. The nanofiber material extends out of the proximal end of the implant, once deployed. The implant also includes pre-loaded sutures or has the ability to accept and lock sutures to the implant. For an implant pre-loaded with suture, the implant is placed into the bone, the material is deployed above the anchor onto the surface of the bone, suture is passed through the soft tissue, and knots are tied to secure the tissue against the bone, sandwiching the material between the bone and tissue, to provide a pathway for cells from the bone marrow to the soft tissue-bone interface, promote the healing response, provide a biomimetic structure that cells readily adhere to, and create a larger healing footprint.

Devices for seizing sutures within osteal tunnels, including blindly seizing such sutures, having an interior end for insertion into an osteal tunnel, the interior end having a suture seizing mechanism; an exterior end having an activating mechanism for activating the suture seizing mechanism; a target ring, which is a component of the suture seizing mechanism, having an opening through which a suture to be seized can pass through; and a suture clamping component, which is a component of the suture seizing mechanism, for clamping the suture to be seized against a surface of the target ring.

The current invention is a modification to suture passing devices which employ a configuration of having upper and lower jaws to both grasp a tissue and deploy a suture loaded needle from one of the jaws. The current invention allows for an operator-controlled means to grasp the passed suture with a mechanism located within the jaw opposite the side of needle deployment. A sliding block located within the jaw opposite the side of needle deployment is controllable by the operator near the handle of the device and provides movement of the sliding block against the inner surface of the distal end of the jaw to exert compression on the passed suture. This compression allows for grasping and retrieval of the passed suture.

The invention discloses a coating method of an antibacterial surgical suture made of a high molecular absorbable material. The method comprises the following steps of: applying a dying process to a coating process; preparing a suture woven by using a warp loom; soaking a primary suture; uniformly spraying a coating liquid onto the suture by adopting a gas-free coating process; and drying and sizing. The suture is reddish violet and fresh in color, is smooth and flexible, is easy for knotting, has high knotting strength, and has the advantages of anti-inflammation, oxidation resistance, high degradability, long tension period and the like; and the safety of a knot is enhanced. The tensile strength is kept by about 70 percent two weeks after clinical suturing; slow absorption starts four weeks later; and the suture is absorbed completely 8-10 weeks later. As proved by clinical application, the antibacterial surgical suture has a wide application range and a good effect, is free from irritability, irritation and inflammatory reactions, and has the advantages of sterilization, anti-inflammation, bacteriostatic action and the like.

A method for treating a wound with sutures is disclosed. One method includes placing the body and shaft of the device within a cavity of the wound; attaching a first end of at least one suture to a first side of the wound; passing a second end of the at least one suture through the body and coupling it to the shaft; attaching a second end of the at least one suture to the second side of the wound; and rotating the shaft with respect to the body to pull the first side of the wound and the second side of the wound toward one another.

A method for treating a wound with sutures is disclosed. One method includes placing the body and shaft of the device within a cavity of the wound; attaching a first end of at least one suture to a first side of the wound; passing a second end of the at least one suture through the body and coupling it to the shaft; attaching a second end of the at least one suture to the second side of the wound; and rotating the shaft with respect to the body to pull the first side of the wound and the second side of the wound toward one another.

An anastomotic system including a plurality of needles loaded with sutures and a delivery tool. The sutures include a suture core and crimp or fastener member at a proximal end of the core. An anchoring sleeve is optionally provided at a distal end. The anchoring sleeve is configured to collapse and prevent retraction of the suture after insertion through the tissue wall. A method of deploying the needles using the delivery tool is also disclosed.

The present disclosure is directed towards an apparatus for holding a suture. The apparatus may comprise a carrier including a base. The carrier may be configured to retain a cover over the base. The base may be configured to mount the carrier on a fixture and include a primary wrapping path disposed thereon, the wrapping path for wrapping at least a portion of a suture thread. The apparatus may include a plurality of suture retaining canopies located at an outer portion of the primary wrapping path and projecting from the base. The suture retaining canopies may be configured to facilitate retaining a suture thread within the primary suture path. The apparatus may also include a needle retainer disposed on the base. The needle retainer may include at least one slot configured to retain a needle.

The invention discloses an inverse insertion nasobiliary tube. The inverse insertion nasobiliary tube comprises a main drainage tube and a nasobiliary drainage tube, wherein the diameter of the main drainage tube is smaller than that of the nasobiliary drainage tube; the main drainage tube is in smooth connection with the nasobiliary drainage tube; the length of the main drainage tube is between 110 and 130 centimeters; a traction hole is formed at the tail end of the main drainage tube; the length of the nasobiliary drainage tube is between 25 and 35 centimeters; a plurality of drainage holes are formed in the nasobiliary drainage tube; the drainage holes in the nasobiliary drainage tube are arranged symmetrically in a mode that two drainage holes form a pair; the space between each pairof the drainage holes is between 1.5 and 1.8 centimeters; the adjacent drainage holes are arranged in a staggered manner; the nasobiliary drainage tube comprises an upper part and a lower part which are distinguished by two colors; and the length of the upper part is two thirds of that of the nasobiliary drainage tube. The inverse insertion nasobiliary tube is simple and reasonable in structure and convenient to use, and bile leakage in primary suture of bile duct after choledocholithotomy is effectively prevented; moreover, the standing time is short, and the pain of patients is relieved.

The invention relates to a biliary tract inner support drainage tube and belongs to medical apparatuses and instruments. The biliary tract inner support drainage tube comprises a support drainage tube and a guiding wire placed in the support drainage tube. One end of the support drainage tube is in an oblique-face shape. Side through holes are evenly distributed in the tube wall of the support drainage tube. The support drainage tube and the guiding wire are used for replacing a T-shaped tube for being used in operative treatment of a patient with choledocholithiasis, after the choledocholith is fully taken out, the primary suture of the common bile duct is carried out without placing the traditional T-shaped tube, so operation time is shortened, operation difficulty is lowered, operation equipment cost is lowered, patient hospital staying time is shortened, hospital staying cost is lowered, postoperative complications are reduced, the patient can be recovered quickly, what is more important, the support drainage tube can be excreted out of the body along with excrement in about one week after operation, so that the patient does not need to suffer from the pain caused by long-term T-shaped tube retention, a series of complications caused by T-shaped tube placing are completed avoided, scars after operation become small, and accordingly the operation becomes more minimally invasive. If the biliary tract inner support drainage tube can be used widely and clinically, great benefit will be brought to the patient.

The invention provides a suture having a restraining element at an end and a method and use thereof. According to the invention, polymeric fibers, and apparatuses for and methods of processing such fibers to be useful as sutures are provided, where at least one end of a fiber includes a termination feature. The termination feature is formed through the application of energy to a coiled region of the fiber.

The invention discloses a novel medical suturing system. The novel medical suturing system comprises a suture needle receiver, a surgical suture needle with a thread and a shell. The shell comprises at least one opening which is dimensionally configured to be used for inserting and moving arms of tweezers and allowing the suture needle receiver and the suture needle selectively provided with the suture thread to be attached to far ends for the arms of tweezers or remove the above when the arms are inserted. The surgical suture needle with the thread comprises a suture needle, a press cap and a suture thread. The suture needle is divided into four parts including a needle tip, a needle body, a needle end connection thread and a needle end. The novel medical suturing system has following beneficial effects: the tweezers and the novel medical suturing system make it possible to control a stitching process when the surgical suture needle is utilized for stitching tissue; the possibility of a perforating accident of the suture needle is decreased in all steps during an overall stitching process; the needle tip is sharper than a circular needle head due to a triangular structure; the needle and the thread are press-in type and connected to the suture needle such that threading is performed very conveniently and the suture thread is prevented from splitting off; and wounds of the tissue during suturing are fewer.

The invention discloses a laparoscope postoperation trocar hole suturing device which comprises an outer sleeve, a push rod, four suturing needles and two suturing lines. The end, connected with a base, of the outer sleeve is provided with four longitudinal grooves. The base is provided with a groove. A needle holder is arranged in the groove. The needle holder is movably connected with the base through a pin shaft and a torsion spring. The needle holder is provided with a suturing needle installation hole. One end of the suturing needle is installed in the suturing needle installation hole, and the other end of the suturing needle is provided with a needle eye. A suturing line channel is arranged in the push rod. The bottom of the push rod is connected with the needle holder through a connecting rod. The two ends of the connecting rod are hinged to the outer sleeve and the needle holder through pin shafts respectively. The suturing device is further provided with a locking device used for fixing the push rod and a reset device. The laparoscope postoperation trocar hole suturing device is simple in structure, convenient to operate, and capable of safely, effectively and conveniently suturing a laparoscope operation wound.

This invention provides a suture system and method that does not require knots. A locking suture includes a needle and a thread that is provided with a plurality of locking barbs. The needle is applied over an end of the thread by conventional systems. The exterior surface of the thread is covered with barbs. The barbs can be arranged in rows of at least one barb each, circumscribing the thread of the suture and are oriented so that they are uniformly feathered, being closed in the direction of the needle and open toward the terminal (posterior) end. The feathering provides for the barbs to lie flat when drawn through a membrane or other material, and the bias causes them to splay open when a tension towards the terminal / posterior end is exerted. This splaying creates a locking force.

The invention relates to a flow-jetting suture guiding device. The flow-jetting suture guiding device comprises a suture bin of a hollow structure. An injector connector is arranged at one end of the suture bin. The other end of the suture bin is connected with a puncture needle in a sealed mode. A suture winding tube is fixedly connected to the interior of the suture bin, a suture is wound around the suture winding tube, one end of the suture is located inside the puncture needle, and the other end of the suture is fixed to the suture winding tube. The suture located in the suture bin is driven by jet flow formed by liquid media to move along an inner cavity of the puncture needle. The flow-jetting suture guiding device can be used for suturing a fiber ring after removal of the nucleus pulposus; after an operation is finished, protrusion of the intervertebral disc is not prone to relapsing; the flow-jetting suture guiding device can also be used for suturing and ligaturing other deep tissues.

A suturing assembly includes a suture passing member formed with a lumen in which are disposed a suture holding element and a first puncture element. Both the first puncture element and the suture holding element include suture receiving portions. A second puncture element includes a suture receiving portion. The first puncture element and the suture holding element have a retracted position and a deployed position. In the deployed position, the distal end of the first puncture element and / or suture holding element bends and passes over the distal end of the second puncture element, and a space is formed between the first puncture element and the suture holding element. During movement from the deployed position back to the retracted position, the suture receiving portion of the first puncture element and / or suture holding element moves adjacent the suture receiving portion of the second puncture element.

The invention relates to a medial appliance, in particular to an endoscopic suture line which comprises a suture line. A clamping hole and a connecting hole are formed in two ends of the suture line, a first ligation ring and a second ligation ring are sequentially arranged on the suture line along portions from the clamping hole to the connecting hole, the first ligation ring is a plastic ligation ring, and the second ligation ring is a silica gel ligation ring. The endoscopic suture line has the advantages that the endoscopic suture line can be easily and safely operated and is low in cost, titanium clip fixed points are easy to control, endoscopic wound surface suture can be facilitated, and surgical operation can be prevented to the greatest extent.