Способ артроскопического сшивания мениска коленного сустава и хирургический инструмент для его осуществления

Группа изобретений относится к медицине, а именно к травматологии и ортопедии, и может быть использована для артроскопического сшивания мениска коленного сустава. Используют хирургический инструмент для артроскопического сшивания мениска коленного устава, состоящий из рукоятки с канюлей, от которой отходит рабочая часть проводника в виде каннулированной иглы с внутренним диаметром 1 мм с загнутым в обратную сторону под 180° конически заостренным концом, рукоятка выполнена из термостойкого пластика, а рабочая часть - из медицинской нержавеющей стали. Инструмент вводят в полость сустава через стандартный антеромедиальный порт, изгибом параллельно плато большеберцовой кости, горизонтально по направлению к заднему рогу медиального мениска, проводят между суставными поверхностями мыщелка бедренной и большеберцовой кости. Затем инструмент проводят в заднемедиальный отдел над задним рогом мениска под обязательным контролем артроскопа, после визуализации инструмента в заднемедиальном отделе его ...

NÄHGERÄT

Article module for tattoo or permanent make up device, has needle carrier consisting of one or multiple inserted needles and carrier or needles are fastened to needle nozzle with elastic membrane, held in article module

The module has a needle carrier (40) consisting of one or multiple inserted needles (20). The needle carrier and the needle (20) or the needles are fastened to a needle nozzle with an elastic membrane, held in the article module. The needle carrier is composed of medically acceptable material.

Endoskopisches Fundoplication-Gerät zur Behandlung von Gastroösophagealen Reflux

Werkzeug mit Verstärkung für eine medizinische Nadel

MECHANISM FOR THE SURGICAL CATCH OF A TROKARDURCHSTICHS

APPARATUSES FOR CONNECTING FABRIC LAYERS

SENTENCE WITH MEDICAL FASTENING PART AND DEVICE FOR THE ARRANGEMENT OF THE FASTENING PART

ENDOSCOPIC FUNDOPLIKATIONSVORRICHTUNGEN FOR TREATMENT THAT GASTROÖSOPHAGEALEN REFLUXKRANKHEIT

TOOL WITH REINFORCEMENT FOR A MEDICAL NEEDLE

SPIRAL NÄHVORRICHTUNG

DEVICE FOR THE EXECUTION OF AN ANASTOMOSIS

ECHOGENICALLY ENHANCED SURGICAL INSTRUMENT AND PRODUCTION METHOD

Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions

Tools for use in treatment of male urinary incontinence

Tissue fixator

The present disclosure relates to a needle for attaching a fixator to a soft tissue graft The needle includes a pointed distal end and a proximal end, the proximal end including a suture coupler, the suture coupler including a hook aid a pocket, formed by the hook, wherein the needle is curved along an entire length of the needle. A fixator for use with the needle and method of fixating a soft tissue graft to a bone is also disclosed.

Surgical coils and methods of deploying

Suture passing devices and methods

A suture passing device includes a notchless tubular needle having a preformed curved shape. One or more cleats are disposed within the needle to help secure suture engaged by the sharp distal tip of the needle and to prevent further bifurcation of the suture. The deformable needle is housed in a channel of a lower jaw having a curved guidepath that approximates the curved geometry of the preformed needle, thereby facilitating the consistent return of the needle to its preformed shape each time the needle exits the channel. A dual needle suture passing device is also provided having a second notchless needle to enable a mattress stitch. Methods of loading a suture onto a notchless needle in a suture passer are also provided.

PELVIC IMPLANT SYSTEMS AND METHODS

Systems and methods for implanting pelvic implants ( 10) In one embodiment, an anterior implant ( 10) has multiple arms ( 14, 16, 18, 20) that extend outwardly from a body portion (12) of the implant ( 10) in opposite directions In one embodiment, a posterior implant ( 10) has multiple arms ( 14, 16, 18, 20) that generally extend in the same direction In one embodiment, an anterior introducer (170) includes a needle ( 178) having a curved section ( 182) that is sized and configured for implanting an anterior prolapse implant (78) In one embodiment, a posterior introducer ( 170) includes a needle ( 178) having a curved section ( 182) that has a first curved portion ( 184 and a second curved portion, ( 186) the two curved portions having radii of curvature that are different from each other.

EXTRACTION DEVICE AND MEDICAL SUTURING DEVICE SET

The extraction device is furnished with a pulling out device on which are formed hook elements that hook onto part of suture, which is disposed in an annular shape within the organism, and are able to draw this out of the organism. It is also a medical suturing device set that is used to anchor the organ to the organism's paries, which is furnished with a puncture needle, in which insertion through-hole is formed from the basal tip side to the apical tip side, and which is able to puncture the paries from the outside such that the aperture of insertion through-hole on the apical tip side is positioned within the organ; a suture that is supplied to the inside of the organ from the aperture via insertion through-hole, and which is able to from an annular section within the organ.

REINFORCING TOOL FOR A MEDICAL NEEDLE

The present invention provides a tool for reinforcing a medical needle having a recessed portion of relatively narrow diameter and main body portions of relatively larger diameter on either side of said recessed portion wherein the tool comprises a cylindrical body which is detachably attachable to said recessed portion of the medical needle. A medical instrument comprising a combination of the medical needle and reinforcing tool is also provided.

BARIATRIC SLEEVE

Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device (200) is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor (208) for anchoring the device to the stomach and a flexible sleeve (202) to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.

METHOD AND APPARATUS FOR DOUBLE LOOP STITCHING

A sewing needle having a needle tip configured to pass through a sewing material and a first needle portion that follows the needle tip. A second needle portion is removably connected to the first needle portion and includes an end that is inserted into an elongate hollow receiver located on the first needle portion. The second needle portion follows the needle tip through said sewing material substantially simultaneously with the first needle portion. A first thread connection formed on the first needle portion is configured to carry a first portion of said thread through the sewing material and a second thread connection formed on the second needle portion is configured to carry a second portion of said thread through the sewing material. After passing through the sewing material, the first and second needle portions are separated, brought around outside edges of the sewing material and reconnected for subsequent stitching.

GERD TREATMENT APPARATUS AND METHOD

An elongated member is configured for transoral placement into a stomach and includes a distal end effector having first and second members configured to engage stomach tissue. The first and second members are movable relatively toward one another generally in a first plane and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue and is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby.

CONTROL HANDLE FOR AN ENDOSCOPE

A handle is provided for attachment to a medical endoscope for advancing instrumentalities through the instrument channel of the endoscope. The handle is adapted for use with instrumentalities requiring multiple longitudinal strokes to be performed in a predetermined sequence. A detent mechanism is provided to assure that a first stroke is completed before the next succeeding stroke begins. The invention as disclosed is used to operate an endoscopic sewing machine.

PERCUTANEOUS DEVICE ANCHORING SYSTEM

A system or assembly for anchoring percutaneous devices, e.g., tubes or catheters or leads, extending percutaneously through a percutaneous passageway from the skin of a patient to a subcutaneous location or body cavity or tract or lumen from movement further into the body or retraction out of the body. An implantable anchor comprising an anchor body and a tensioning filament is inserted through the percutaneous passageway and deployed subcutaneously with the anchor body in engagement with body tissue in a manner that inhibits it from being retracted through the passageway. The tensioning filament extends from the anchor body and alongside the percutaneous device body through the percutaneous passageway and tension is applied to it to draw the deployed anchor against subcutaneous body tissue and toward the patients skin. The tensioning filament is coupled with an attachment mechanism secured against the percutaneous device body outside the patient's skin at a location adjacent to the patient's ...

Double cannula to facilitate introduction of the arthroscopic meniscal trans-thread material in the human knee meniscus seam of the rupturierten.

Die Erfindung besteht in einer Doppelkanüle zur erleichterten transmeniskalen Einführung von Fadenmaterial für die arthroskopische Naht des rupturierten Meniskus im menschlichen Knie. Die Doppelkanüle besteht aus einer äusseren festen und einer zweiten inneren, teleskopierbaren Kanüle, dank derer der Meniskus in seiner vollen Dicke in erleichterter Weise perforiert und durchstossen werden kann zur Platzierung eines Fadens oder einer Drahtschlinge, die zur Naht einer Meniskusruptur dienen.

Double cannula for trans for arthroscopic meniscal introduction of thread material in the human knee meniscus seam of the rupturierten.

Die erfindungsgemässe Doppelkanüle dient der erleichterten transmeniskalen Einführung von Fadenmaterial zur Bildung einer arthroskopischen Naht in den rupturierten Meniskus (3) im menschlichen Knie. Die Doppelkanüle besteht aus einer äusseren festen Kanüle (1) und einer zweiten inneren, teleskopierbaren Kanüle (2), dank derer der Meniskus (3) in seiner vollen Dicke in erleichterter Weise perforiert und durchstossen werden kann zur Platzierung eines Fadens (4) oder einer Drahtschlinge, um dann über einen separaten arthroskopischen Zugang einen Faden ins Gelenk einzubringen und in die Schlinge einzuziehen, mittels dessen der Meniskusriss nach Entfernung des Instrumentes vernäht werden kann.

Puncture instrument and puncture device

A puncture device (1) comprises: a puncture instrument (10) for puncturing a biological tissue; a longitudinally shaped urethral insertion member (4) that is to be inserted into the urethral lumen; a longitudinally shaped vaginal insertion member (5) that is to be inserted into the vaginal lumen; and a supporting member (2) supporting the urethral insertion member (4), the vaginal insertion member (5) and a puncture member (3) of the puncture instrument (10). The puncture instrument (10) comprises: the puncture member (3) that comprises a puncture needle (31) for puncturing a biological tissue, a shaft (33) and a connecting part (32) for connecting the puncture needle (31) and the shaft (33); and an indwelling assembly (8) that is located in the tip side of the puncture needle (31) and comprises a needle tip (82) for puncturing the biological tissue and an indwelling member (81) for supporting the biological tissue. The puncture needle (31) is tubular-shaped and has a hollow part (312).

The arthroscope meniscus tear repair device

SURGICAL NEEDLE HOLDER

Le porte aiguille chirurgical (1) suivant la présente invention comporte une canule cylindrique (2) dans laquelle est contraint suivant un axe longitudinal yy' et dans une position sensiblement allongée une aiguille chirurgicale (3), ladite canule (2) comprenant une première extrémité présentant un profil effilé (2a) permettant d'assurer la traversée des tissus et sa pénétration au niveau du site opératoire et une seconde extrémité opposée à la première solidaire d'une poignée de préhension (2b), un pousse aiguille (4) introduit à l'intérieur de la canule cylindrique (2) et des moyens de retenue (5) permettant de maintenir temporairement le pousse aiguille (4) dans une position déterminée par rapport à ladite canule cylindrique (2).

MEANS AND METHODS FOR SUTURING TISSUE

A device for suturing tissue includes a handle that has a proximal end and a distal end. The device also includes a generally hollow suturing needle including a pointed distal end, an opposite proximal end and an inner lumen having an suture exit port through which the suture exits. The device further includes a suture dispensing mechanism disposed within the handle and including an actuator which when manipulated by a user is configured to advance suture material within the handle such that the suture material is guided into the inner lumen of the hollow suturing needle and exits through the suture exit port. The device includes a safety mechanism that shields at least a portion of the needle.

ENDOSCOPIC FUNDOPLICATION DEVICES FOR TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE

Endoscopic devices used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The endoluminal device includes a tissue fastener, a flexible needle having means for grasping and releasing a portion of the tissue fastener, and a deflector for deflecting and guiding the needle toward the multiple tissue layers.

GERD TREATMENT APPARATUS AND METHOD

An apparatus includes an elongated member configured for transoral placement into a stomach, and a distal end effector including first and second members configured to engage stomach tissue, e.g., tissue beyond the esophageal junction. The first and second members are movable relatively toward one another generally in a first plane, and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue. The third member is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby. The tissue securement member includes first and second parts, a suture attached to the first part, and a securing element attached to the suture and configured for engagement with the second part when the first and ...

MESH SUTURE

A medical device includes a surgical needle attached to an elongated mesh suture. The suture is constructed of macroporous flat wall that facilitates and allows tissue integration into the suture core subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility. 1. A medical device comprising:a surgical needle; andan elongated mesh suture having a first end attached to the surgical needle and a second end located away from the surgical needle, the elongated mesh suture including a flat wall and a plurality of pores extending through the flat wall,the flat wall having a length dimension extending substantially entirely from the first end to the second end of the elongated mesh suture, the flat wall having a cross-sectional rectangular profile with a substantially uniform width dimension and a substantially uniform thickness dimension along the entire length dimension, the width dimension being greater than the thickness dimension and the width dimension being between approximately 1 mm and approximately 1 cm,at least some of the pores having a pore size that is greater than or equal to approximately 200 microns such that the pores are adapted to facilitate tissue integration through the flat wall when the elongated mesh suture is introduced into a body.2. The medical device of claim 1 , wherein the width dimension is between approximately 1 mm and approximately 5 mm.3. The medical device of claim 1 , wherein the pore size is in a range of approximately 200 microns to approximately 4 millimeters.4. The medical device of claim 1 , wherein the pore size is in the range of approximately 500 microns to approximately 4 millimeters.5. The medical device of claim 1 , wherein the suture is constructed of a material selected from the group consisting of: polyethylene terephthalate claim 1 , nylon claim 1 , polyolefin claim 1 , polypropylene claim 1 , silk claim 1 , polymers p-dioxanone claim 1 , co-polymer of p-dioxanone claim 1 ...

Grasper needle closure device

A device for treating a tissue defect including a grasper including a pair of arms movable between a tissue receiving configuration and a tissue gripping configuration, a needle extending longitudinally from a proximal end to a distal end and including a first lumen extending longitudinally therethrough, the needle slidably received between the arms so that the needle is movable between a non-extended configuration, in which the distal end of the needle is proximal the distal ends of the arms, and an extended configuration, in which the distal end of the needle is distal of the distal end of the arms, and a first suture element slidably housed within the first channel and deployable therefrom to be anchored in a first target tissue into which it is inserted, the first suture element including a first cross member attached to a distal end of a first suture.

Apparatus for tissue repair

An apparatus includes first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member. The limiting element is movable relative to the second fixation member and acts to limit loosening of the flexible member relative to the second fixation member. The limiting element can be slidably received by the flexible member. The flexible member can be coupled to the fixation members such that pulling on a free end of the flexible member shortens a length of the flexible member between the fixation members.

Fixation device and methods for engaging tissue

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

Methods And Apparatus For Cardiac Valve Repair

The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment.

Articulating needle

An arthroscopic needle having partial cuts or serrations along one side of a circular, hollow needle shaft allows the needle to bend, or articulate, by drawing a pull strip bar, defined by a thin strip along the interior side closet to the serrations in the hollow shaft, for compressing along the cuts to draw uncut segments into closer arrangement for curving the needle in the direction of the compressed side. The selectively articulating, or “bendable” needle that curves in response to a rotating knob provides for insertion of surgical attachment anchors in difficult-to-reach areas of meniscal tissue. The disclosed articulating needle has the ability to bend and access more anterior and posterior zones of meniscal repairs than conventional rigid needle approaches.

Apparatus and methods for forming and securing gastrointestinal tissue folds

Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point. Adjustable anchor assemblies, as well as anchor delivery systems, are also provided.

APPARATUS FOR TISSUE REPAIR

An apparatus includes first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member. The limiting element is movable relative to the second fixation member and acts to limit loosening of the flexible member relative to the second fixation member. The limiting element can be slidably received by the flexible member. The flexible member can be coupled to the fixation members such that pulling on a free end of the flexible member shortens a length of the flexible member between the fixation members.

SUTURE PASSER

Disclosed are devices and methods relating to a suture passer that passes suture efficiently via motion of fluid in and out of the suture passer. In certain embodiments, the suture passer includes a syringe-like barrel and a plunger for drawing and expelling fluid from the barrel. A suture can be disposed within the barrel, and one end of the suture can be releasably secured to a portion of the plunger. In certain embodiments, the suture end can be releasably secured to a tip portion of the plunger. Various examples of suture releasing mechanisms and actuations of such mechanisms are disclosed. Also disclosed are examples of how such releasably secured sutures can be assembled and packaged into pre-loaded suture passer devices. Also disclosed are examples of suturing operations that can be achieved easier and quicker by use of such suture passer devices.

FIXATION DEVICES, SYSTEMS AND METHODS FOR ENGAGING TISSUE

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

SYSTEMS AND METHODS FOR TISSUE SUSPENSION AND COMPRESSION

Suture passer systems for tissue suspension and tissue compression are described. The system can include a shaft and a needle, wherein the needle is freely rotatable with respect to the shaft. The suture may include an overmolded segment. Methods of placing one or more implants, sutures, fastener, bone anchors and other devices are also described. The methods include moving tissue, including the superior pharyngeal constrictor muscle, palatopharyngeal arch, and palatoglossal arch. The methods include hyoid bone suspension.

Fixation device delivery catheter, systems and methods of use

Devices, systems, methods and kits are provided for delivering interventional devices to a target location with a body. Such interventional devices particularly include fixation devices or any devices which approximate tissue, such as valve leaflets. The delivery devices and systems direct the interventional device to the target location through a minimally invasive approach, such as through the patient's vasculature, and provide for manipulation of the interventional device at the target location, such as to approximate tissue. Optionally, the delivery devices and systems may provide for decoupling of the interventional device, allowing the interventional device to be left behind as an implant.

Methods of treatment using a bariatric sleeve

Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device to the stomach and a flexible sleeve to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.

ATRAUMATIC TWO-TIPPED SURGICAL NEEDLE

Atraumatic two-tipped surgical needle (11) consisting of a tubular metal shaft, the central portion of which is equipped with a hole (10), through which emerges a surgical thread (13) that is anchored inside the needle (11).

Endoscopic fundoplication devices for treatment of gastroesophageal reflux disease

ФИКСАТОР ТКАНЕВОГО ТРАНСПЛАНТАТА

Изобретение относится к медицине и может быть использовано для крепления фиксатора к трансплантату мягкой ткани. Игла имеет заостренный дистальный конец и проксимальный конец. Проксимальный конец включает соединитель для шовного материала. Соединитель шовного материала содержит крючок и карман. Игла изогнута по всей длине и используется с фиксатором. Игла обеспечивает использование непрерывного шовного материала без узлов с улучшенной прочностью и жесткостью. 2 н. и 13 з.п. ф-лы, 12 ил.

ХИРУРГИЧЕСКАЯ ИГЛА И ИСПОЛЬЗУЕМАЯ С НЕЙ НИТЬ

Изобретение относится к хирургическим инструментам и может быть использовано в пластической хирургии. Хирургическая игла имеет продолговатый, полый корпус и два конца. Корпус имеет нижнюю стенку и верхнюю стенку. Стенки соединены друг с другом. Верхняя стенка и нижняя стенка простираются вдоль продольной оси иглы. Каждый из двух концов имеет полое скошенное окончание. Игла также имеет отверстие, которое располагают в верхней стенки корпуса, и прорезь, которую располагают в нижней стенке. Нить имеет возможность скольжения внутри полого корпуса иглы. Нить фиксируют в позиции с помощью узелка или с помощью иных механизмов, которые позволяют зафиксировать нить. Для указанной цели наименьший диаметр отверстия больше, чем наибольшая ширина прорези. В результате игла имеет под кожей движение в соответствии с траекторией, заданной хирургом, например в виде петли. 2 н. и 18 з.п. ф-лы, 6 ил.

КАНЮЛЯ ДЛЯ ИМПЛАНТАЦИИ НИТЕЙ

Изобретение относится к медицинской технике. Канюля для имплантации нитей содержит трубку с передним концом, закрытым шариком, и отверстие на боковой стороне трубки. Шарик закреплен внутри трубки и предназначен для направления имплантируемой нити через отверстие. Канюля обеспечивает решение проблемы затрудненного вытягивания имплантируемой нити с шипами, которые цепляются за передний конец отверстия. 4 з.п. ф-лы, 7 ил.

СПОСОБ ИЗГОТОВЛЕНИЯ ХИРУРГИЧЕСКОЙ ИГЛЫ БЕЗ УШКА

Изобретение относится к области медицины. Способ осуществляется путем формирования отверстия для введения и закрепления одного конца лигатуры в торцевой поверхности хирургической иглы без ушка, изготовленной из нержавеющей стали. Отверстие образуют за счет облучения торцевой поверхности заготовки иглы, диаметр которой на величину от 6 до 20 мкм больше, чем диаметр хирургической иглы, составляющий меньше чем 150 мкм, за счет облучения одним импульсом лазерного луча заданной длительности, выделенного из импульса, излучаемого лазером, после чего удаляют участок, диаметр которого больше, чем диаметр иглы. В другом варианте способа длительность импульса, выделенного из импульса, излучаемого лазером, равна или меньше чем 35 мкс. В третьем варианте осуществления способа импульс, выделенный из импульса, излучаемого лазером, образован множеством импульсов короткой длительности. Данная группа изобретений позволяет создавать отверстия в торцевой поверхности тонкой хирургической иглы удовлетворительного ...

СТЕРЖЕНЬ ДЛЯ ИМПЛАНТАЦИИ НИТИ БЕЗ ПОВРЕЖДЕНИЯ ПОДКОЖНОЙ ТКАНИ И КРОВЕНОСНЫХ СОСУДОВ

УСТРОЙСТВО ДЛЯ ИМПЛАНТАЦИИ МЕДИЦИНСКОЙ НИТИ В ТЕЛО ПАЦИЕНТА, ИМЕЮЩЕЕ ПРЕДОТВРАЩАЮЩУЮ УТЕЧКУ КРОВИ КОНСТРУКЦИЮ

... 1. Устройство для имплантации медицинской нити в тело пациента, имеющее предотвращающую утечку крови конструкцию, содержащее:трубку (10) иглы, имеющую отверстие (12), в которое вставляется часть медицинской нити (2), при этом трубка (10) иглы вставляется в тело пациента и затем удаляется из него для имплантации медицинской нити (2) в тело пациента; иручку (20), расположенную на заднем конце трубки (10) иглы, с отверстием (21) для вставления заглушки, образованным в заднем конце ручки (20) и соединенным с отверстием (12) трубки (10) иглы, при этом отверстие (21) для вставления заглушки имеет диаметр больше диаметра отверстия (12), и ручка (20) имеет наклонную часть (22), соединяющую отверстие (21) для вставления заглушки с отверстием (12) трубки (10) иглы; исоединительную заглушку (30), содержащую часть (31) для вставления заглушки, вставляемую в отверстие (21) для вставления заглушки, при этом часть (31) для вставления заглушки имеет переднюю концевую часть (32), соответствующую наклонной ...

Naht-Set für medizinische Zwecke

The invention relates to a suturing set for medical use, comprising a handle piece (1), a needle (2), at least partly embodied as a hollow needle and which may be fixed to the handle and a transport device (5), arranged within the handle (1), which may be displaced between two end positions for the supply of suturing material (4) to the needle (2), whereby the transport device (5) comprises a gripping device (9), by means of which the supplied suturing material (4) may be grasped in one end position of the transport device (5) and then released in the other end position of the transport device (5). According to the invention, the transport of the suturing material (4) to the needle (2) may be achieved in a simple, secure and material-protective manner, whereby the introduced suturing material (4), on reaching an end position of the transport device (5), is gripped in a clamping manner by means of displacing the transport device (5) and is only released again on reaching the other end position ...

Improvements in surgical instruments

... 411,762. Surgical suturing appliances. HILLEBRAND, H., 141, Emmichstrasse, Aachen, Germany. Dec. 12, 1933, No. 34954. [Class 112.] A surgical suturing appliance comprises a blunt curved needle c formed integral with a shank b having an enlarged end f screwed into a hollow handle a. An ampoule i within the handle contains a spool h of suture material immersed in an aseptic liquid, the suture material T being led through the broken end k of the ampoule and through a slit m in the part f; the suture material is then passed beneath a ring o, laid in a groove n in the shank b, passed through an eye p at the base of the needle, and thence passed through eyes r, t, d, in the needle, and laid in grooves q, s, u, between them. In use the needle is made to pierce the flesh; the material T grasped, and the needle withdrawn ; the material T is then cut off and tied and the operation repeated.

EQUIPMENT FOR THE ADJUSTMENT OF FABRIC

DEVICE FOR SEWING FABRIC

SURGICAL NEEDLE AND THUS UTILIZATION SEAM MATERIAL

PROCEDURE AND DEVICE FOR HERZKLAPPENREPERATION

ENDOSCOPIC FUNDOPLICATION EQUIPMENT FOR THE TREATMENT OF GASTROÖSOPHAGEALEN REFLUX

Systems for introducing implants

Extraction device and medical suturing device set

Endoscopic fundoplication devices for treatment of gastroesophageal reflux disease

Capturing and fixing leaflets in valve repair

Improved system for the treatment of stress urinary incontinence

Apparatus and methods for treating congestive heart disease

Gerd treatment apparatus and method

Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions

Devices, systems, and methods are provided by- maintaining tissue regions in desired orientation in or along an airway, e.g., for reducing or preventing snoring and/or sleep disordered breathing events, such as sleep apnea.

Method and apparatus for passing suture through tissue

A suture passer comprising: a hollow tube, the hollow tube comprising a distal and proximal end, a lumen extending from the distal end to the proximal end, a window formed in the sidewall of the tube, the window communicating with the lumen; and a clamping rod slidably received in the lumen of the tube, the clamping rod comprising a distal and proximal end, the distal end being bifurcated into a first and second arm, one of the arms extending distally of the other of the arms and including a clamping surface, and at least one of the arms being outwardly biased such that when the clamping rod is moved distally so that the distal end of the at least one outwardly biased arm is adjacent to the window, the distal end of the at least one outwardly biased arm extends outwardly through the window.

Tissue fixator

The present disclosure relates to a needle for attaching a fixator to a soft tissue graft The needle includes a pointed distal end and a proximal end, the proximal end including a suture coupler, the suture coupler including a hook aid a pocket, formed by the hook, wherein the needle is curved along an entire length of the needle. A fixator for use with the needle and method of fixating a soft tissue graft to a bone is also disclosed.

U-shaped disc-shunt and delivery device

The intervertebral disc contains no blood vessels. Nutrients and waste are diffused mainly through adjacent vertebral bodies. As we age, calcified layers form between the disc and vertebral bodies, blocking diffusion. The disc begins to starve and flatten. The weight shifts abnormally from disc to the facet joints causing strain and back pain. Under anaerobic conditions, lactic acid is produced causing acidic irritation and unspecific pain. A U-shaped disc shunt (126) is delivered into and sealed within the degenerated disc simply by needle puncturing and withdrawal, to draw nutrients from bodily circulation into the avascular disc. A continual supply of nutrients increases biosynthesis of the water- retaining sulfated glycosaminoglycans, hence swelling pressure within the disc. The weight is re-shifted from the facet joints to the regenerated disc, alleviating back pain. With oxygen transported through the shunt, anaerobic production of lactic acid is minimized. In addition, the residual ...

Arthroscopic meniscal repair systems and methods

An arthroscopic meniscal tear repair device comprises a catch needle and a transfer needle, which are pierced into a torn meniscus and advanced past the tear. Suture is transferred by a suture needle from the transfer needle through the meniscus and into the catch needle. The catch needle has an internal mechanism that retains the suture. The suture needle is then retracted back to its home position inside the transfer needle, leaving the free end of the suture across the meniscus and in the catch needle. The device is then retracted out of the meniscus, leaving behind a stitch across the meniscal tear inside the meniscus. A pre-tied knot of suture is then slid down the device and cinched up using a knot pusher having a dilation tip, thus completing the repair.

DEVICES AND METHODS FOR TISSUE REPAIR

A tissue repair construct having first and second implants coupled via a flexible element is provided. The flexible element forms an adjustable loop closed with a sliding knot, and has first and second free ends extending from the knot formed by wrapping the second end around the first end. The second implant can have a changeable configuration. The construct can be placed within a surgical site in a patient's body such that the first implant is passed into a bone adjacent to soft tissue and the second implant is disposed on an opposed side of the soft tissue. The first free end of the flexible element is configured to be tensioned to decrease a size of the loop and thereby change the configuration of the second implant and to thereby cause at least the second implant to move towards the first implant. -- U- ...

SUTURING DEVICE

A medical apparatus and method useful for suturing tissue is disclosed. The medical apparatus can include a curved needle and an apparatus suitable for providing endoscopic suturing. The apparatus can include a needle drive for driving the curved needle about a generally arcuate path. The curved needle can be deformed to form a closed needle structure.

SURGICAL CONNECTION APPARATUS AND METHODS

... ²²²Surgical connection apparatus (100) comprises a support (102,104) having a ²proximal portion with a distal end and a proximal portion. The support forms a ²pathway between the proximal and distal portions. Aplurality of self-closing ²clips (200) are slidably disposed in the pathway and a pusher is arranged to a ²slidably move in the pathway and push the clips in a distal direction. The ²apparatus facilitates partial ejection of a clip after which the remainder of ²the clip is withdrawn therefrom. In one embodiment, the support comprises a ²tubular needle with the distal end being pointed. The needle can be used to ²penetrate the tissue or material to be joined and to manipulate or approximate ²tissue or material to be joined before the clip is partially ejected.² ...

METHODS AND APPARATUS FOR CARDIAC VALVE REPAIR

The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools (30, 36, 56) which are introduced to a heart chamber. Preferably, the tissue structures will be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment.

SURGICAL TECHNIQUE AND TOOLS FOR USE IN TREATMENT OF MALE URINARY INCONTINENCE

A transobturator technique was developed for treating male urinary incont inence. This approach helped to design specific instruments to pass around t he ischio-pubic branches of the male pelvis from inside to outside (i.e from the suburethral space to the thigh fold). The inside-out transobturator sli ng technique uses specific instruments and a polypropylene mesh with two arm s that are passed inside to outside through the obturator foramens, pulled f or compressing the bulbar urethra upward, and tied to each other across the midline. The mesh passes around the ischio-pubic branch before being tied un der the bulbar urethra where it brings tension and support.

IMPROVED SUTURE

A medical device (10) includes a surgical needle (12) attached to a hollow tubular suture (14). The suture is constructed of macroporous hollow tubular wall (16) that facilitates and allows tissue integration into the suture core (18) subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility.

CONTROL HANDLE FOR AN ENDOSCOPE

A handle is provided for attachment to a medical endoscope for advancing instrumentalities through the instrument channel of the endoscope. The handle is adapted for use with instrumentalities requiring multiple longitudinal strokes to be performed in a predetermined sequence. A detent mechanism is provided to assure that a first stroke is completed before the next succeeding stroke begins. The invention as disclosed is used to operate an endoscopic sewing machine.

Suturing device

A medical apparatus and method useful for suturing tissue is disclosed. The medical apparatus can include a curved needle and an apparatus suitable for providing endoscopic suturing. The apparatus can include a needle drive for driving the curved needle about a generally arcuate path. The curved needle can be deformed to form a closed needle structure.

BRAIDED SUTURE SYSTEM WITH METAL MARKER MARKER

PROCEEDED FOR the MANUFACTURE Of a SURGICAL NEEDLE TO SUTURE AND SINGLE ACHAS OBTAINED SWITCHES

Wound Closure Device

The wound closure device includes an outer tubular housing, an inner shaft that extends through the housing, a needle control assembly at least partially disposed with the housing, a pair of hollow needles in communication with the needle control assembly, sutures in the housing, and a suture deployment assembly connected to a distal end of each suture and to the inner shaft. The needles can be inserted into a tissue to deposit the sutures and suture anchors at or near wound edges. The needles can thereafter be completely withdrawn from the tissue. Fig. 1.

IMPLANTS FOR THE TREATMENT OF PELVIC FLOOR DISORDERS

An implant for repairing pelvic floor disorders, such as urinary incontinence or prolapse, by lifting the prolapsed tissue or organ into a more anatomically correct position is provided. The types of prolapse contemplated include rectoceles, cystoceles (whether central or lateral), enteroceles, urethroceles, hysteroceles, vaginal vault prolapse, uterine prolapse, and/or any other prolapse or combination of such disorders. The prosthesis is shaped with a central support section and one or more lateral anchoring sections or arms extending outwardly from the central section. The support section lifts the prolapsed organ to a more anatomically correct position, whereas the anchoring section(s) are positioned through soft tissue away from the organ being supported to hold the implant in place by allowing tissue ingrowth into the anchoring sections. The implant may be formed of both synthetic and more natural materials, whereby the synthetic material aids in providing the permanence of implant ...

SYSTEMS, METHODS AND DEVICES RELATING TO DELIVERY OF MEDICAL IMPLANTS

Implant delivery systems are disclosed. In general overview, an exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in suprapubic, prepubic, transvaginal, trans-obturator and other approaches are also disclosed.

DEVICES AND METHODS FOR FASTENING TISSUE LAYERS

Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member (15) having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers (4, 6), a grasper (80) configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device (20) coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener (200) configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

APPARATUS FOR ENDOSCOPIC SURGICAL PROCEDURES

Apparatus and method for performing surgical procedures within the mediastinum and within the pericardium include an endoscopic cannula having at least one lumen, a transparent tip, and an endoscope for introduction into the mediastinum and optionally into the pericardium via a single subxiphoid incision. A cavity may be initially dilated for advancing the endoscopic cannula using a dilating tool have an inner cannula and an outer expansible sheath that exerts a lateral-expansive, tissue-dilating force against the surrounding tissue cavity to allow the larger endoscopic cannula to be introduced into the mediastinum. Other surgical instruments, including a pericardial entry instrument are positioned through a lumen of the endoscopic cannula to cut a flap of the pericardium and create a small opening through which other surgical instruments such as an ablation probe or a restraining jacket may be introduced. All regions of the heart may be accessed by sweeping the endoscopic cannula around ...

CIRCULAR BONE TUNNELING DEVICE

An adjustable suture passer for use in arthroscopic surgery is disclosed. In a preferred embodiment, the adjustable suture passer comprises a head that describes a semicircular arc, an elongate body, a support element, and driving and control mechanisms. The head is adapted to accommodate a surgical needle and a guide wire. When the adjustable suture passer is activated, the needle is driven with sufficient force to penetrate bone. Use of the adjustable suture passer thus enables surgical attachment of soft tissue to bone without any necessity for a separate anchor.

SYSTEMS AND METHODS FOR CLOSING INTERNAL TISSUE DEFECTS

A delivery system having a steerable delivery device and an elastic clip for treating an internal tissue defect, such as septal defects and the like, is provided. The clip can be deformable between a relaxed state and a stressed state and biased towards the relaxed state. The delivery device can include a flexible tubular needle with a lumen for housing the clip while in the stressed state. When used to treat a septal defect, the needle is advancable through overlapping tissue flaps and a pusher member is advancable within the needle lumen to push the clip distally such that one end of the clip is deployed and engages a tissue flap. The needle can then be retracted allowing the clip to deploy over both flaps of tissue, where the biasing force returns the clip to the relaxed state drawing the tissue flaps together and closing the septal defect.

ENDOSCOPE SYSTEM

An endoscope system, comprising treatment devices (3) having insert parts (30) with tip parts and base parts and allowed to be inserted from a body cavity opening part into a body cavity and treating the inside of the body cavity and a capsule type endoscope device (2) having at least an external case (7) and an observation optical system (8). The endoscope device (2) is used in combination with the treatment devices (3).

MEDICAL SUTURING INSTRUMENT

A medical suturing instrument in which the movement of an operation part is transmitted with a time lag to a loop forming part and a suture thread by means of a loop feed/return mechanism and a suture thread feed mechanism, and once a loop has been fed out from the tip end of a loop introduction needle, the suture thread is fed out from the tip end of a suture thread introduction needle.

Abrasive tool for grinding needles

Abrasive tools and a grinding process are for use in the manufacture of hypodermic needles. In particular, a formulation including selected bond components, and a process for manufacturing grinding wheels having an embrittled bond permits a new method for grinding of fine hollow metal tubes to shape the tips of hypodermic needles with the substantial elimination of metal burrs or fines from the grinding process.

TREATING DYSFUNCTIONAL CARDIAC TISSUE

Medical devices, systems, and methods reduce the distance between two points in tissue, often for treatment of congestive heart failure and often in a minimally invasive manner. An anchor is inserted along an insertion path through a first wall of the heart. An arm of the anchor is deployed and rotationally positioned according to a desired alignment. Application of tension to the anchor may draw the first and second walls of the heart into contact along a desired contour so as to effect a desired change in the geometry of the heart. Additional anchors may be inserted and aligned with the first anchor to close off a portion of a ventricle such that the ventricle is geometrically remodeled and disease progression is reversed, halted, and/or slowed.

Suturing instrument

This suturing instrument has a flexible inserted portion, which is introduced into a body cavity, and a hand operated portion, which is manipulated from outside the body by the surgeon. An anchoring member, which is attached to suture material, is housed inside the puncture needle at the end of the inserted portion. A pushing member, which pushes out the anchoring member, has a structure that enables it to be inserted into the inserted portion and the hand operated portion. Further, the puncture needle communicates with a flow path inside the hand operated portion, and a gas port for supplying flow to this flow path is provided to the hand operated portion.

Tissue protecting devices for treatment of congestive heart failure and other conditions

According to one embodiment, a protective device for use in congestive heart failure treatments, and other treatments, includes a control mechanism, an elongate shaft, and a protective plate. The control mechanism is coupled with a proximal end of the elongate shaft and the protective plate is pivotably coupled with a distal end of the elongate shaft. The elongate shaft enables the protective plate to be inserted within a body and navigated distally of a heart wall. The protective plate has a relatively wide and thin body portion and is pivotable relative to the elongate shaft by operation of the control mechanism. Pivoting and/or navigating of the protective plate within the body allows the protective plate to be positioned adjacent the heart wall to shield body organs or tissue surrounding the heart wall from being damaged by surgical instruments inserted through the heart wall.

Tissue Repair System

An apparatus for repairing an anatomical tear, such as a tear in the meniscus of a human knee. The apparatus includes a guide cannula directing a penetrating shaft through the meniscal tear and through the outer skin layer of the knee. The penetrating shaft pulls a line to the outside of the skin layer of the knee where it is used to pull or kedge a repair implant into position across the meniscal tear.

Anti-obesity devices

Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the pyloric portion of the gastrointestinal system and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device in the pyloric portion and a flexible sleeve that extents into the duodenum. The anchor is collapsible for endoscopic delivery and removal.

Fold-Resistant Pelvic Implant System and Method

A pelvic non-folding hammock implant is provided. Such an implant can be constructed of a polymer material to provide an implant portion, e.g., support portion, having one or more extending and independent teeth-like features defining a fold control portion in a generally comb-like construct. The individual teeth resist folding by providing independently reacting extensions along the fold control portion.

Medical implant

A medical assembly includes an implant and an envelope at least partially enclosing a portion of the implant. The envelope may include a tongue to protect the implant, a scaffold to provide integrity to the envelope, a tab access to ease envelope withdrawal, and/or one or more discontinuities to ease envelope withdrawal.

Medical product, in particular for management of tissue repair

A medical product includes at least one elongate body including cells and a method for manufacturing the medical product.

Fracture Fixation Device

Assemblies for securing fractured bone are provided. The assembly includes a first fixation element, a second fixation element, and an adjustable flexible member construct. The first fixation element having a male or a female sleeve is secured within a first portion of the fractured bone. The second fixation element having the other of the male or female sleeve telescopically received within the one of the male or female sleeve is secured within a second portion of the fractured bone. The adjustable flexible member construct extends between the first and second fixation elements and has at least one adjustable loop coupled to the first fixation element and the second fixation element and a pair of adjusting ends extending through an opening in the first fixation element. The pair of adjusting ends can be pulled to reduce a diameter of the adjustable loop and to compress fragments of the fractured bone.

Method for providing surgical access

One embodiment is directed to a method for providing surgical access across a wall of a tissue structure, comprising: measuring a thickness of the wall of the tissue structure at a targeted entry location; and providing a helical needle having a helical needle pitch selected to pull an intercoupled suture member across the wall with a distal portion of the needle such that a deployed suture pattern is formed, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops substantially encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.

High-Strength Suture

A surgical suture is made of an elongate, hollow braid of high strength fibers. The braid defines an elongate, longitudinally-extending, central chamber that is open and without any core material extending therein so that, when a surgeon's knot is tied with the suture, the cross-sectional shape of the braid collapses upon itself and is reduced in size in response to pressures experienced when the knot is tightened thereby producing a low profile knot that resists slippage. Preferably, the braid is of a size corresponding to a USP size 5-0 to USP size 7 suture and has one or more, preferably a pair, of color contrasting monofilaments woven therein to enhance suture visibility. Methods of making a flattened suture and of utilizing the high strength suture to maintain body tissues in an engaged position to promote healing are also provided.

Needle for laparoscopic suturing instrument

A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.

Device and method for treatment of hemorrhoids

A device and method for treatment of hemorrhoids, in which the devices includes: a housing insertable into the rectum; a tissue port configured to receive a tissue segment containing at least a portion of a hemorrhoidal blood vessel; opposing needle chambers including at least one pair of corresponding needles coupled by a suture in which the pair of corresponding needles are substantially opposite to one another and in an active position substantially aligned with the tissue segment; a needle driver that advances the pair of corresponding needles through the tissue segment to encircle a portion of the hemorrhoidal blood vessel with the suture, thereby ligating the hemorrhoidal blood vessel; and an actuator coupled to at least one of the needle chambers that actuates the needle chambers such that another pair of corresponding needles is in the active position.

Adhesive Suture Structure and Methods of Using the Same

According to an aspect of the present disclosure, a surgical suture needle assembly is provided including an elongate tube defining a lumen through at least a portion of a length thereof; and a wound treatment material contained within the lumen of the suture structure. The present disclosure further provides for methods of using the surgical suture needle assembly in anastomotic procedures and the like.

Stitch lock for attaching two or more structures

An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member configured as a stitch lock that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect.

Method and apparatus for reducing tissue trauma during ipp procedure

A traction ring for use in a penile implant procedure can include a plurality of elastic sutures. Each elastic suture can have an elastic body with an attachment loop at one end and an adhesive pad at the opposed end. The attachment loop allows for positioning of the elastic suture at any of a plurality of available attachment grooves located about a perimeter of the traction ring. The adhesive pad is generally attached to penis proximate the penis tip. Adhesive pad can be bonded to the penis with a suitable skin adhesive. The skin adhesive can be contained within a reservoir on the adhesive pad. Alternatively, the adhesive pad can be separated from the elastic body. A removal solvent can be applied to dissolve or otherwise break down the skin adhesive following completion of an implant procedure.

Devices, systems and methods for tissue repair

Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.

Anti-obesity devices

Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the pyloric portion of the gastrointestinal system and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device in the pyloric portion and a flexible sleeve that extents into the duodenum. The anchor is collapsible for endoscopic delivery and removal.

Welded Looped Suture

A suture includes an elongate body and a filler material. The elongate body includes a distal end having first and second overlapping sections forming a loop. The filler material is disposed within at least a portion of a seam defined between the first and second overlapping sections of the elongate body to reinforce the first and second overlapping sections. A method of forming a reinforced looped suture includes providing a suture including an elongate body including a distal end having first and second overlapping sections defining a loop, and applying a filler material to a seam defined between the first and second overlapping sections.

Surgical Filament Snare Assemblies

A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

Method and apparatus for the treatment of tissue

This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.

Tissue graft anchoring

A method of securing a tissue graft includes providing a fixation member having a suture attached thereto, attaching the suture to the tissue graft, and adjusting the length of the suture between the fixation member and the tissue graft by pulling an end of the suture. A fixation device includes a member defining at least two openings and a suture passing through the at least two openings. The suture has a first end received within the suture through an open second end of the suture and exits the suture through a first opening in the suture between the first and second suture ends. A fixation device includes a suture having two closed loop portions that pass through openings in a member. A first suture end is received within the suture through a first opening in the suture, and a second suture end is received within the suture through a second opening in the suture.

Adjustable Suture Lock Loop

The present disclosure relates to an adjustable suture lock loop for use in soft tissue repair and, more particularly, an adjustable suture lock loop constructed from a suture material having a lumen and one or more anchors. The adjustable suture lock loop can include a strand of braided suture material having a first end and a second end, and a lumen; and one or more anchors, wherein each anchor has two or more holes disposed therethrough that are large enough to permit the suture to pass therethrough; and both ends of the suture material pass through the lumen of a first section of the suture material, and wherein the first end of the suture material is free, while the second end is secured to form a loop.

Insertion needle

An insertion needle that is turnably mounted on a handle, which holds the insertion needle, wherein the insertion needle includes a turn arm that turns so as to face the tip of the insertion needle, and a target site that guides the insertion needle provided on the tip of the turn arm, and is further provided with: through-holes in two locations that are provided separated in the longitudinal direction of the tip of the insertion needle; an indentation formed between these through-holes; and a groove in the direction from the tip of the insertion needle toward the base of the insertion needle. Furthermore, the insertion needle is suitably used in urinary incontinence surgery, pelvic organ prolapse surgery or the like.

Loop

A continuous loop of material for use in mammals, particularly humans. One embodiment may have an air entanglement section therein and method of making the same. Another embodiment includes a hollow braided length having a first inner section and a second inner section, the sections formed by radially inserting the ends into the hollow braid and passing it along a portion of the hollow interior. These embodiments may also include a bone engagement member incorporated therein. A further embodiment is a loop assembly having a length of fiber, the length of fiber having two ends, and a bone engagement member having an end receiving member to securely receive the two respective ends therein.

Bioactive Substance in a Barbed Suture

Barbed surgical sutures are provided which include an elongated body and a plurality of barbs extending therefrom. A bioactive agent is disposed within barb angles formed between the barbs and the elongated body. The barbs may be made from a shape memory polymer having a permanent shape which may be deformed to a temporary shape, such that barbs of the suture extend at different barb angles in the different shape configurations. The barb angles of the permanent shape may be greater than the barb angles of the temporary shape, thereby exposing and/or releasing a bioactive agent after placement in tissue.

Instruments for delivering transfascial sutures and methods of transfascial suturing

An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

Method And Apparatus For Coupling Soft Tissue To A Bone

A method and apparatus for surgically repairing a tear in soft tissue is disclosed. A plurality of collapsible tubes are positioned about the suture. The collapsible tubes are pushed through soft tissue and orthopedic mesh on opposite sides of a tear in soft tissue. When tension is applied to the suture, the tubes are compressed to fix the suture to the soft tissue and draw the soft tissue portions together.

Barb configurations for barbed sutures

A barbed suture for connecting tissue, and a combination surgical needle with a barbed suture. The suture includes an elongated body and a plurality of barbs projecting from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. The disposition of the barbs on the body may be staggered, twist cut multiple spiral, overlapping, or random. Also, the configuration of the barbs may be a certain spirality angle α, barb cut angle Θ, barb cut depth, barb cut length, barb cut distance, corrugated barb underside, arcuate barb base, or varying barb size.

Circular bone tunneling device

An adjustable suture passer for use in arthroscopic surgery is disclosed. In a preferred embodiment, the adjustable suture passer comprises a head that describes a semicircular arc, an elongate body, a support element, and driving and control mechanisms. The head is adapted to accommodate a surgical needle and a guide wire. When the adjustable suture passer is activated, the needle is driven with sufficient force to penetrate bone. Use of the adjustable suture passer thus enables surgical attachment of soft tissue to bone without any necessity for a separate anchor.

Pelvic Implant System and Method

Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition urethral support tissue, such as the portion of the perineal membrane above or below the urethra. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence.

Method and apparatus for repairing a mitral valve

A method for repairing a mitral valve, the method comprising: positioning a crossing guidewire across the mitral valve, the crossing guidewire passing through the annulus of the mitral valve at a first location and passing through the annulus of the mitral valve at a second location; using the crossing guidewire to position a spanning implant across the mitral valve, with the spanning implant extending from the first location to the second location; anchoring the spanning implant at the first location; tensioning the spanning implant so as to draw the first location and the second location together; and anchoring the spanning implant at the second location.

Braided self-retaining sutures and methods

A self-retaining braided suture comprises a braided suture with tissue retainers formed on the surface such that the suture can engage and retain tissue without knots. The suture includes a plurality of braided fibers which may be covered by a non-braided sheath of a material which enhances the formation, elevation and/or deployment of the retainers. The retainers can be formed so as not to disrupt the braided fibers. The self-retaining braided suture has properties which enhance the tensile strength of the suture while preserving flexibility and durability. Methods for manufacturing and using self-retaining braided suture are also described.

Locking suture

A locking suture comprises a main suture branch with at least one member fixably attached, wherein the main suture branch and at least one member pass through a suture eyelet of the locking suture in a first direction, but passage of the member in a second direction through the suture eyelet is resisted due to mechanical impediment between the member and the eyelet.

Micro laparoscopy devices and deployments thereof

An apparatus for reversely deactivating a port seal in a laparoscopic port and providing a continuous passage between the laparoscopic port and a remote location in a body cavity.

Suture delivery tools for endoscopic and robot-assisted surgery and methods

A suture delivery tool releasably secures a self-retaining suture to permit delivery of the self-retaining suture to a surgical site in a patient through an access port. Suture delivery tools are disclosed suitable for manual operation and operation using robotically-assisted surgical systems. In some embodiments, a suture spool is part of a cartridge which is releasably attached to the suture delivery tool. Cartridges is, in some embodiments, replaced after deployment of the self-retaining suture and different cartridges having different self-retaining suture are, in some embodiments, selected and attached to the suture delivery tool as required for a procedure.

Method And Apparatus For Attaching Soft Tissue To Bone

A method and apparatus for securing soft tissue to bone can include forming a bore in the bone and carrying a flexible suture anchor into the bore. The flexible anchor can include a passage and can be coupled to a suture construct. The suture construct can include at least one self-locking adjustable loop, and the flexible anchor can include a first profile while being carried into the bore. A shape of the flexible anchor can be changed from the first profile to a second profile forming an anchoring mass to retain the flexible anchor in the bore. Tension can be applied to a portion of the suture construct to reduce a size of the self-locking adjustable loop and secure the soft tissue relative to the flexible anchor and the bone.

High strength suture with absorbable core and suture anchor combination

A novel high tensile strength semi-absorbable composite suture with minimized non-absorbable mass. The suture has a core made from a bioabsorbable polymer. The core is covered by a braided sheath. The braided sheath is made from an absorbable yarn and a bioabsorbable yarn. The bioabsorbable yarn is made from a least one filament of a bioabsorbable polymer. The nonabsorbable yarn is made from at least one filament of ultra high molecular weight polyethylene.

Barbed sutures having contoured barbs that facilitate passage through tissue and increase holding strength

A wound closure device includes a filamentary element having a proximal end and a distal end, and a plurality of barbs extending outwardly from the filamentary element. Each barb has a base connected with the filamentary element, a tip spaced from the base, and an outer edge that extends between the base and the tip. The outer edge includes a first section having a concave surface that extends between the base and a transition point of the barb and a second section having a convex surface that extends between the transition point of the barb and the tip of the barb. The outer edge transforms from the concave surface of the first section to the convex curve of the second section at the transition point of the barb. The tip of the barb has a convexly curved surface facing the distal end of the filamentary element. The unique dual radius shape of the outer edge of the barbs and the tips of the barbs minimizes resistance when the filamentary element is pulled in a first direction through tissue and maximizes resistance to movement when the filamentary element is pulled in an opposite, second direction through tissue for holding the wound closure device stationary.

Tissue anchors, systems and methods, and devices

Systems, devices and methods for securing tissue including the annulus of a mitral valve. The systems, devices and methods may employ catheter based techniques and devices to plicate tissue and perform an annuloplasty.

System and method for transapical access and closure

Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.

IMPLANT AND SUTURE ORGANIZATION DEVICE

An organization device for maintaining a suspensory graft fixation device (i.e., an implant and suture) in a desired position. The device includes a substrate having top and bottom edges with first and second panels extending therebetween. The device also includes a first central longitudinal axis extending in a direction from the top edge to the bottom edge between the first and second panels. The first and second panels are foldable about the axis between open and closed positions. The device also includes an opening extending through the bottom edge and into the first panel, and a plurality of top slits and bottom slits. The plurality of top slits includes at least one top slit which is aligned with the first opening. The device additionally includes a tabs adjacent the opening. The slits and tabs are configured to maintain suture of a suspensory graft fixation device in an organized manner. 1. An implant and suture organization device , comprising:a substrate having a top edge and a bottom edge with a first panel and a second panel extending therebetween;a first central longitudinal axis extending in a direction from the top edge to the bottom edge between the first panel and the second panel;wherein the first panel and the second panel are foldable about the first central longitudinal axis between an open position and a closed position;an opening extending through the bottom edge and into the first panel;a plurality of top slits extending into the top edge of the first panel, wherein at least one of the plurality of top slits is aligned with at least a portion of the first opening;a plurality of bottom slits extending into the bottom edge of the first panel; anda first tab on the first panel adjacent a first side of the opening;a second tab on the first panel adjacent a second side of the opening; andwherein the first tab and the second tab both open toward the opening.2. The device of claim 1 , further comprising:a spaced pair of cutouts in a side of the ...

Fracture Fixation Device

Assemblies for securing a fractured or weakened bone within a subject's body are provided. The assembly includes a frame having an adjustable flexible member construct thereon. The adjustable flexible member construct is disposed in the frame such that the adjustable flexible member and the frame encircle the fractured or weakened bone.

SYSTEMS AND METHODS FOR INCREASED OPERATING ROOM EFFICIENCY

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle. 115-. (canceled)16. An apparatus for receiving a needle , the apparatus comprising:a housing comprising an upper outward facing surface and a lower outward facing surface;a needle slot within the housing and located between the upper outward facing surface and the lower outward facing surface, the needle slot configured to receive a needle between the upper outward facing surface and the lower outward facing surface and comprising a secure zone configured to receive the needle therein; anda needle driver slot extending a distance along the housing and the needle slot, the needle driver slot also extending from the upper outer facing surface to the needle slot, wherein the needle driver slot is configured to receive a needle driver therethrough as the needle driver advances the needle along the needle slot and into the secure zone.17. The apparatus of claim 16 , wherein the housing comprises an upper structure and a lower structure that are coupled together.18. The apparatus of claim 17 , wherein the upper outward facing surface comprises a surface of the upper structure and the lower outward facing surface comprises a surface of the lower structure.19. The apparatus of claim 16 , wherein the needle driver slot intersects the needle slot.20. ...

DEVICES, SYSTEMS, AND METHODS FOR ANCHORING SUTURES

Various devices, systems, and methods for anchoring sutures are provided In general, a suture anchor can include a groove formed in an exterior surface thereof and configured to seat a suture at least partially therein. The suture can be configured to automatically become seated in the groove during the advancement of the anchor into bone, such as by being rotated therein using a driver tool. The suture and the groove can have cooperating sizes such that the suture seated in the groove extends radially outward therefrom to be partially located outside of the anchor. This external portion of the suture can be press fit between the anchor and the bone, thereby securing both the anchor and the suture to the bone. This securing can occur as part of driving the anchor into bone. 1. A surgical system , comprising:a suture anchor configured to be disposed in bone, the suture anchor having a suture-seating feature at a distal end thereof, and the suture anchor having a helical groove formed in an exterior surface thereof, the groove having a maximum depth, having a length, and being configured to seat a suture at least partially therein along the length of the groove.2. The system of claim 1 , wherein the helical groove is a single continuous groove.3. The system of claim 1 , wherein the helical groove includes a plurality of discrete grooves that together define a helical shape.4. The system of claim 1 , further comprising a suture configured to be seated in the helical groove claim 1 , the suture having a diameter claim 1 , the diameter of the suture being greater than the maximum depth of the groove.5. The system of claim 1 , further comprising a suture coupled to the suture anchor and configured to move from a first configuration claim 1 , in which none of the suture is seated in the groove claim 1 , to a second configuration claim 1 , in which an intermediate portion of the suture between terminal ends thereof is at least partially seated in the groove.6. The system of ...

METHOD AND APPARATUS FOR COUPLING SOFT TISSUE TO BONE

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. A bone engaging fastener is coupled to bone. A second fastener is coupled to a suture construction. The second fastener is coupled to the first fastener. Soft tissue is coupled to the suture construction. 1. (canceled)2. (canceled)3. A method of securing soft tissue to bone , comprising:locating a first anchor in a bone at a first location and a second anchor in the bone at a second location that is spaced from the first location with an adjustable suture construct extending between the first anchor and the second anchor to couple the first anchor to the second anchor with a segment of soft tissue positioned under the adjustable suture construct and over the bone between the first anchor and the second anchor, the adjustable suture construct including a suture with a first free end and a second free end, the first free end passing through a first longitudinal passage in the suture to form a first adjustable loop, the second free end passing through a second longitudinal passage in the suture to form a second adjustable loop, wherein, with the first free end extending through the first longitudinal passage in the suture to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the suture to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop without decreasing a size of the second adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop without decreasing a size of the first adjustable loop; andpulling on the first free end of the suture to reduce a size of the first adjustable loop, wherein said pulling forces the segment of soft tissue against the bone.4. The method of further comprising pulling on the second ...

Devices and Methods for Continuous Surgical Suturing

A surgical suture module for a machine constructed and configured for automatic, continuous suturing for reduced or minimized scarring and reduced suturing time. A surgical suture module for continuous, subcuticular suturing. The module includes a generally circular needle with a needle shaft; a supply of thread; a thread guide; a hook with a hook shank, a holding arm mechanism; and a housing. The needle, rotationally movable between a first position and a second position, is configured to introduce the thread into a tissue. The hook is operable for hooking and lifting the thread in coordination with the needle and the holding arm mechanism is operable for pushing and catching the thread in automatic coordination with the hook. The needle, the hook, and the holding arm mechanism are held in position by the housing and the housing operable to attach to a power supply that provides power to the module. 1. A module comprising:a needle with a needle shaft; a supply of thread; a thread guide; a hook with a hook shank, a holding arm mechanism with a holding arm shaft; and a housing;the needle rotationally movable between a first position and a second position and configured to introduce the thread into a first edge of a tissue at a first point and a second edge of the tissue at a second point;the thread guide operable to supply the thread to the needle;the hook operable for hooking and lifting the thread in coordination with the needle; andthe holding arm mechanism operable for pushing and catching the thread in automatic coordination with the hook; the needle, the hook, and the holding arm mechanism held in position by the housing; andthe housing operable to attach to a power supply that provides power to the module;thereby providing a module for automatically creating a stitch.20. The module of claim 1 , wherein the housing includes a footer angled between about degrees and about 90 degrees to the rotational axis of the needle.3. The module of claim 1 , further ...

MESH SUTURE WITH ANTI-ROPING CHARACTERISTICS

A medical device includes a surgical needle attached to a mesh suture having anti-roping elements. The suture is constructed of a flat macroporous mesh wall that facilitates and allows tissue integration subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility. Advantageously, the anti-roping elements serve to maintain the desired construct of the flat mesh wall when undergoing axial tensile loads by resisting elongation and loss of outer mesh wall macroporosity. 1. A medical device comprising:a surgical needle;an elongated mesh suture having a first end attached to the surgical needle and a second end located away from the surgical needle, the elongated mesh suture including a flat wall and a plurality of pores extending through the flat wall; andone or more anti-roping elements fixed to the mesh wall, the anti-roping elements resisting elongation of the elongated suture when a tensile load is applied along an axial direction between the first and second ends of the elongated suture,the flat wall having a length dimension extending substantially entirely from the first end to the second end of the elongated mesh suture, the flat wall having a cross-sectional rectangular profile with a substantially uniform width dimension and a substantially uniform thickness dimension along the entire length dimension, the width dimension being greater than the thickness dimension and the width dimension being between approximately 1 mm and approximately 1 cm,at least some of the pores having a pore size that is greater than or equal to approximately 200 microns such that the pores are adapted to facilitate tissue integration through the flat wall when the elongated mesh suture is introduced into a body.2. The medical device of claim 1 , wherein the one or more anti-roping elements resists collapsing of the mesh wall upon itself claim 1 , which would otherwise result in a reduction in pore size claim 1 , when a tensile load is ...

NON-SLIDING SOFT ANCHOR

A method for coupling tissue includes aligning a guide tool on an outer surface of a first tissue; forming a bore in the first tissue aligned with the guide tool; deploying a non-slip suture construct through the (wide tool and into the bore; adjusting a saddle along a flexible member to a position adjacent to a soft anchor, wherein the saddle prevents the flexible member from slideably moving relative to the soft anchor; and threading the flexible member through a second tissue to secure the second tissue to the first tissue. 17-. (canceled)8. A suture anchor system , comprising:a first anchor that is positionable in a bone hole; anda single braided suture with a first free end and a second free end, wherein, in a direction along the single braided suture from the first free end to the second free end, the single braided suture includes a first longitudinal section which is followed by a second longitudinal section which is followed by a third longitudinal section, the first longitudinal section and the third longitudinal section each comprising a section of the single braided suture having a hollow core, the second longitudinal section comprising a flat braided ribbon section of the single braided suture,wherein, within the suture anchor system, the single braided suture is formed into an adjustable suture construct, the adjustable suture construct including the first free end of the single braided suture extending: (i) into the single braided suture through a first opening in an outer wall of the third longitudinal section of the single braided suture; (ii) longitudinally within the single braided suture along the hollow core of the third longitudinal section of the single braided suture; and (iii) out of the single braided suture through a second opening in the outer wall of the third longitudinal section of the single braided suture to position the first free end of the single braided suture outside the single braided suture and form an adjustable loop portion ...

HERNIA REPAIR DEVICE AND METHOD

A hernia repair device includes a mesh configured figured to extend across a tissue defect and a plurality of filaments coupled to the mesh. The filaments are coupled to the mesh in proximity of an outer periphery thereof and extend from a central portion of the mesh. Each filament includes a plurality of barbs disposed along at least a portion of the length thereof. Each filament further includes a needle disposed at a free end thereof. 120-. (canceled)21. A hernia repair device , comprising:a mesh defining a plane, an outer periphery, and a central portion, the mesh configured to extend across a tissue defect; anda plurality of filaments coupled to the mesh at a position spaced-apart from the central portion of the mesh, extending within the plane towards the central portion of the mesh, and extending out of the plane from the central portion of the mesh, each filament having a needle disposed at a free end thereof.22. The hernia repair device according to claim 21 , wherein each filament is coupled to the mesh in proximity of the outer periphery of the mesh.23. The hernia repair device according to claim 21 , wherein the mesh includes a first annular support member coupled thereto in proximity of the outer periphery thereof and a second annular support member coupled thereto in proximity of the central portion thereof.24. The hernia repair device according to claim 23 , wherein each filament is coupled to the first annular support member and extends radially inwardly within the plane toward the second annular support member claim 23 , each filament extending out of the plane through an aperture defined by the second annular support member.25. The hernia repair device according to claim 21 , wherein the filaments are substantially equally-spaced about the mesh.26. The hernia repair device according to claim 21 , wherein each filament includes at least two support strands coupled thereto such that each filament is coupled to the mesh in at least two attachment ...

Systems and Methods for Ligament Graft Preparation

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided.

Retractable suture needle assembly

An assembly and method for the protection of medical personnel from accidental suture needle sticks is described. The assembly includes a case containing a needle which can be retracted when not in use. The needle is extended and retracted through the engagement of a needle driver which compresses a compressible member. The compressible member exerts a force on the needle which in turn extends the needle's point beyond the casing so that the user can suture tissue. Disengaging the needle driver retracts the needle point which protects the user from accidentally receiving a needle prick from a contaminated needle between punctures.

DEVICES, SYSTEMS, AND METHODS FOR SUTURE MANAGEMENT

Devices, systems, and methods are provided for managing suture filament during a tissue repair procedure. One exemplary embodiment of an anchor insertion tool includes a handle, an elongate shaft extending distally from the handle, and a ring disposed around the elongate shaft. The ring can be configured to slide along a length of the shaft, and can be configured to engage a filament extending from an anchor removably coupled to the shaft's distal end during a suture anchor insertion procedure. In some embodiments, the ring can include one or more slots for receiving a filament and maintaining a tension applied to the filament. The ring can also include features that prevent it from rotating with respect to the shaft, such as a boss formed on a ring's central opening that engages a slot formed in the shaft. Other devices, systems, and methods for suture anchor insertion are also provided. 1. A suture anchor insertion tool , comprising:a handle;an elongate shaft extending distally from the handle, the shaft having a slot formed along at least a portion of its length and a cannulated distal end in communication with the slot and configured to engage a suture anchor; anda ring having a central opening formed therein, the ring being disposed around the elongate shaft and slidable along a length of the shaft, and the ring being configured to engage a trailing end of a suture filament extending from the slot of the shaft during a suture anchor insertion procedure.2. The tool of claim 1 , wherein the ring includes at least one slot extending from a proximal surface of the ring and toward a distal surface of the ring claim 1 , the at least one slot being configured to receive a suture filament therein.3. The tool of claim 2 , wherein the at least one slot comprises a plurality of slots disposed approximately equidistantly around a circumference of the ring.4. The tool of claim 1 , wherein the ring is non-rotatably coupled to the elongate shaft.5. The tool of claim 4 , ...

DEVICE FOR ATTACHING A LIGAMENT TRANSPLANT

This fastening device comprises a bearing member intended to bear against the outer cortex of a bone and provided with a passage orifice, and a flexible connecting member configured to connect the ligament transplant to the bearing member. The connecting member comprises a tubular portion configured to extend through the passage orifice and can be deformed between a first state in which the tubular portion has a first inner diameter, and a second state in which the tubular portion has a second inner diameter smaller than the first inner diameter. The connecting member also comprises a first and a second traction portions disposed respectively on either side of the tubular portion, the tubular portion being configured to be deformed towards the second state thereof when a traction is exerted on at least one of the first and second traction portions. 1. A device for fastening a ligament transplant on a bone adjacent to an articulation , comprising:a bearing member comprising a bearing part having a substantially rectangular shape and intended to bear against the outer cortex of a bone adjacent to the articulation, and an insertion part intended to be inserted into a tunnel formed in the bone adjacent to the articulation, the insertion part comprising a passage orifice, the axis of the passage orifice extending transversely to the extension direction of the bearing part, and a tubular portion configured to extend through the passage orifice, the tubular portion delimiting a passage conduit and can be deformed between a first state in which the tubular portion has a first inner diameter, and a second state in which the tubular portion has a second inner diameter smaller than the first inner diameter, and', 'a first and a second traction portions connected to the tubular portion and disposed respectively on either side of the tubular portion, the first and second traction portions being capable of extending together at least partially in the passage conduit, the tubular ...

SYSTEM WITH RELOADABLE HANDLE FOR DELIVERING AN ANCHOR

An anchor delivery system configured for single patient, multiple use applications. The system includes reloading linkages which cooperate with needle, suture and anchor subassemblies and devices. Reloading actions accomplish the acceptance of a subsequent anchor cartridge and the readying of delivery structure. 1. A system for deploying an anchor assembly , comprising:a replaceable cartridge carrying the anchor assembly; anda handle configured to couple with the replaceable cartridge, wherein the handle includes a reloading linkage cooperating with the cartridge, a needle assembly, a needle release and retraction trigger, a reloading lever, a trigger sleeve, and a proximal anchor delivery structure.210.-. (canceled)11. The system of claim 12 , wherein the sliding trigger is connected to a pinion which is meshed with a fixed rack.12. The system of claim 1 , wherein the trigger sleeve configured to interact with a sliding trigger.13. The system of claim 1 , further comprising a needle spring and a suture spring claim 1 , the needle spring and suture spring being arranged laterally side by side.1418.-. (canceled)19. The system of claim 11 , wherein the pinion and the fixed rack are configured to provide a stroke multiplier to the sliding trigger.20. The system of claim 1 , wherein the needle assembly comprises a needle configured to be released by the trigger sleeve.22. The system of claim 1 , wherein the needle assembly comprises a needle configured to be retracted by the trigger sleeve.23. The system of claim 1 , further comprising a suture assembly.24. The system of claim 23 , wherein the suture assembly comprises a suture claim 23 , a suture spring claim 23 , and a suture sled.25. The system of claim 24 , wherein the suture spring and the suture sled are configured to impart tension on the suture.26. The system of wherein imparting tension on the suture is controlled by the trigger sleeve. The present disclosure relates generally to medical devices and methods, ...

SURGICAL SUTURES INCORPORATED WITH STEM CELLS OR OTHER BIOACTIVE MATERIALS

Materials and methods for immobilizing bioactive molecules, stem and other precursor cells, and other agents of therapeutic value in surgical sutures and other tissue scaffold devices are described herein. Broadly drawn to the integration and incorporation of bioactive materials into suture constructs, tissue scaffolds and medical devices, the present invention has particular utility in the development of novel systems that enable medical personnel performing surgical and other medical procedures to utilize and subsequently reintroduce bioactive materials extracted from a patient (or their allogenic equivalents) to a wound or target surgical site. 138.-. (canceled)39. A method of making a surgical suture or an elongate linear tissue scaffold having an exterior surface and interior core comprised of a matrix of interwoven filaments or a porous monofilament , wherein a concentration of a bioactive material selected from the group consisting of biological cells and therapeutic agents is dispersed throughout said interior core , said method comprising the steps of:compressing or otherwise manipulating said matrix along or around a longitudinal axis so as to deform the interstices between interwoven filaments or the pores of the monofilament to a first size and shape sufficient to permit the migration of said bioactive material from a surrounding media, across said exterior surface, and into said interior core; andmanipulating said bioactive material-containing matrix along or around said longitudinal axis so as to shrink said interstices or pores to a second size and shape sufficient to restrict the migration of said bioactive material from said interior core across said exterior surface.40. (canceled)41. A method for applying a target agent to a portion of a medical device and subsequently coating or covering the portion with additional agents or materials to yield a coated target agent-containing medical device , said method comprising the following steps:a. providing ...

Fixation Assembly With A Flexible Elongated Member For Securing Parts of a Sternum

A fixation assembly for securing parts of a sternum is provided. The assembly comprises a flexible elongated member and an attachment member. The flexible elongated member includes a locking structure configured to secure the flexible elongated member in a loop around the sternum parts. The attachment member has at least one opening for receiving a bone fastener and is coupled to the flexible elongated member.

Barbed suture and manufacturing method of the barbed suture

The present invention is related to a suture having a cord member. The cord member includes a cord and an outer later covering the core. An outer circumferential surface of the core includes a plurality of protrusions, and the plurality of protrusions are arranged in a ring shape relative to a center of the core. Through spiral cutting method to perform processing on the outer circumferential surface of the outer surface, a plurality of cutting slots are formed at the outer circumferential surface of the outer layer. After the processing of each cutting slot is complete, a protruding member for retaining skin is formed correspondingly.

Suture with Trim Formed Tip

The present invention discloses methods for producing a surgical suture having a reduced cross-sectional area portion from monofilaments fibers of various polymeric and metallic materials. Also disclosed are novel sutures having novel tips. Novel suture tipping apparatuses are also disclosed. The monofilament is subjected to the application of thermal treatment coupled with application of mechanical shaping of the fiber element to produce a deformed cross sectional portion of the suture body. The deformed suture body region is subsequently subjected to a trimming operation within a punching/stamping die. The reduced section of the suture body region and is severed to form a suture having a reduced-cross sectional area end portion. Preferably, each reduced region is severed approximately in the center of the trimmed reduced cross sectional area portion to form a suture having both ends of a reduced cross-sectional area. 116-. (canceled)17. A monofilament suture having a formed distal tip , comprising;a suture filament having a body, proximal end and a distal end, the body of the suture having a maximum cross-sectional dimension;a tip section on the distal end, the tip section having an outer perimeter comprising at least two connected sections, and a cross-section having a maximum dimension; and,a transition section between the suture filament body and the tip section;a lateral trim region in the distal end extending from the tip section into at least part of the transition sectionwherein the maximum dimension of the cross-section of the tip section is less than the maximum cross-sectional dimension of the body of the suture, said perimeter.18. The suture of claim 17 , wherein at least part of the transition has a section that is cut with a cutting die.19. The suture of claim 17 , wherein the tip section has a section that is cut with a cutting die.20. The suture of claim 17 , wherein both the transition section and the tip section are cut.21. The suture of claim 17 ...

ANCHORED SUTURE LINE, DEVICE AND METHOD FOR SURGICAL SUTURING

Anchored suture line (ASL), comprising a suture thread upon which is located a plurality of anchor structures permanently attached to said suture thread at predetermined intervals, may be advantageously employed for surgical suturing procedures. An ASL suturing device may be employed to sequentially implant the anchors, still tethered to the suture line. As they are implanted, the anchors expand thereby becoming secured in the tissue. The process may be repeated without cutting the suture line until the wound is sealed. 1. A method for performing interrupted or continuous surgical suturing comprising the steps of: 'wherein said anchored suture line (ASL) suturing device comprises an injector tip and said anchored suture line is formed of a first bio-compatible suture thread upon which is located at least three anchor structures permanently attached to said suture thread at predetermined intervals, said anchor structures comprised of a second bio-compatible material, distinct from said first bio-compatible suture thread material, that can be caused to transition from a compressed state to an expanded state after implantation in biological tissue;', 'a.) obtaining an anchored suture line suturing device preloaded with anchored suture line,'}b.) puncturing said injector tip of said ASL suturing device into said biological tissue at a first location;c.) injecting a first anchor structure into said biological tissue, from said ASL suturing device, through said injector tip;d.) causing said first anchor structure to expand and remain anchored at said first location;e.) withdrawing said injector tip from said biological tissue from said first location;f.) puncturing said injector tip into said biological tissue at a second location, said second location laterally displaced from said first location;g.) injecting a second anchor structure from said ASL suturing device through said injector tip, wherein said second anchor structure remains attached to said first anchor ...

Method and apparatus for fabricating self-retaining sutures with calibration

An apparatus and method for improved cutting of self-retaining elements on a suture material, including the use of an improved calibration system. The calibration system includes a light emitting source and light receiving source, emitting light through a blade housing where the blade edge is within the light emitted pathway. The blade housing can be moved in accordance with the calibration information.

SHAPE MEMORY ALLOY SUTURES AND PROSTHESIS

A suture filament is suitable for use as a suture or a ligature. The suture filament includes a cover formed of a plurality of braided fibers of polyester, and/or ultrahigh molecular weight polyethylene, and/or a plurality of shape memory alloy filaments. The suture filament includes a core of shape memory alloy that is surrounded by the cover. 1. A suture filament suitable for use as a suture or a ligature , the suture filament comprising:a cover formed of a plurality of braided fibers of polyester and/or ultrahigh molecular weight polyethylene, anda core of Nitinol, wherein the core is surrounded by the cover, a single filament of Nitinol,', 'a multi-filament of Nitinol, wherein the multi-filament is wound, braided or twisted, and', 'a ribbon shaped filament of Nitinol, and, 'wherein the core is selected from the group consisting ofwherein the core has a material condition of.2. A suture filament suitable for use as a suture or a ligature , the suture filament comprising:a cover formed of a plurality of braided fibers of polyester, and/or ultrahigh molecular weight polyethylene; anda core of shape memory alloy, wherein the core is surrounded by the cover.3. The suture filament as recited in claim 2 , wherein the shape memory alloy is Nitinol.4. The suture filament as recited in claim 2 , wherein the core is a single filament of the shape memory alloy.5. The suture filament as recited in claim 2 , wherein the core is a multi-filament of the shape memory alloy claim 2 , wherein the multi-filament is wound claim 2 , braided or twisted.6. The suture filament as recited in claim 2 , wherein the core is a ribbon shaped filament of the shape memory alloy.7. The suture filament as recited in claim 2 , including a plurality of suture filaments braided into a bundled claim 2 , multi-filament super structure.8. The suture filament as recited in claim 2 , including a coating of polytetrafluoroethylene.9. The suture filament as recited in claim 2 , wherein the cover includes ...

FRACTURE FIXATION DEVICE

Assemblies for securing fractured bone are provided. The assembly includes a first fixation element, a second fixation element, and an adjustable flexible member construct. The first fixation element having a male or a female sleeve is secured within a first portion of the fractured bone. The second fixation element having the other of the male or female sleeve telescopically received within the one of the male or female sleeve is secured within a second portion of the fractured bone. The adjustable flexible member construct extends between the first and second fixation elements and has at least one adjustable loop coupled to the first fixation element and the second fixation element and a pair of adjusting ends extending through an opening in the first fixation element. The pair of adjusting ends can be pulled to reduce a diameter of the adjustable loop and to compress fragments of the fractured bone. 1. (canceled)2. A method for securing a fractured bone comprising:(i) aligning first and second portions of the fractured bone, the first bone portion being on a first side of the fracture, and the second bone portion being on a second side of the fracture;(ii) engaging a first fixation member with the first bone portion and a second fixation member with the second bone portion;(iii) providing or obtaining an adjustable suture construct defining a first adjustable loop, wherein the adjustable suture construct includes first and second free ends, and first and second sections of the adjustable suture construct pass through a self-locking passage portion of the adjustable suture construct to form the first adjustable loop;(iv) positioning the first adjustable loop of the adjustable suture construct across the fracture;(v) engaging a first loop portion of the first adjustable loop with the first fixation member, and engaging a second loop portion of the first adjustable loop with the second fixation member;(vi) tensioning the first and second free ends of the adjustable ...

NEEDLE FOR LAPAROSCOPIC SUTURING INSTRUMENT

A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.

PUNCTURE APPARATUS

A puncture assembly is disclosed, which includes a sheath and an insertion portion. The sheath includes a main body to guide a sling, and a puncture portion disposed at a distal end of the main body, the puncture portion including a position-control portion at the distal end of the main body and a dissecting portion, wherein the puncture portion is configured to rotate in an extended curved line of the main body together with the main body to create a through hole from an outside a living body through obturator foramens of the living body. The insertion portion is configured to be inserted into a hollow lumen of the sheath and has an arcuate shape corresponding to a shape of the sheath. 1. A puncture assembly comprising:a main body to guide a sling; anda puncture portion disposed at a distal end of the main body, the puncture portion including a position-control portion at the distal end of the main body and a dissecting portion.2. The puncture assembly of claim 1 , wherein the puncture portion is configured to rotate in an extended curved line of the main body together with the main body to create a through hole from an outside a living body through obturator foramens of the living body.3. The puncture assembly of claim 1 , wherein the main body is hollow and has a lumen; andthe sling is guided through the lumen to be delivered to a desired site.4. The puncture assembly of claim 1 , wherein a cross-section of the main body is a flattened circular shape having generally sharpened ends at both outer edges of the flattened circle claim 1 , and wherein the sharpened ends at the edges of the flattened circle continuously form longitudinal ridges along the longitudinal axis of the main body.5. The puncture assembly of claim 4 , wherein the longitudinal ridges comprise:a first inner ridge and a first outer ridge, wherein the first inner ridge is disposed at an inner circumference having a shorter length than the first outer ridge disposed at an outer circumference.6. The ...

Methods and systems for advancing and anchoring suture in tissue

Suture constructs have a distal suture anchor and optionally a proximal suture anchor for mobilizing the sutures within tissue. The suture may be implanted using conventional straight, curved, or helical needles. Coupling elements may be provided in the suture constructs in order to indicate the amount of pulling force being applied to the suture when it is being manually manipulated.

Adjustable loop with locking knot

Systems, devices, and methods for soft tissue repair are generally provided and they generally involve the use of surgical filaments that are configured in a variety of manners to minimize and/or eliminate the tying of knots during a surgical procedure. Moreover, systems and devices described herein can provide for a reversible locking knot, which allows for additional tension to be applied to the repair if adjustments are required after the construct has been locked. The reversible locking knot can be “flipped” or actuated without requiring the knot to be untied and then retied. Further, systems and devices described herein can additionally be used to associate implantable bodies and suture constructs within a bone to secure soft tissue while not restricting the relative movements of operative sutures once the implantable body has been deployed.

Medical tube, medical tube assembly, and intrapelvic treatment kit

A medical tube is disclosed, which includes a tubular main body curved in a circular arc shape. The main body has a flat shape as a cross-sectional shape at a central portion in the longitudinal direction thereof. The main body has a flat shape including a minor axis and a major axis as a cross-sectional shape at the central portion in the longitudinal direction thereof. The angle formed between the minor axis and a plane containing both a center point of the circular arc in the central portion and a center point of the cross-sectional shape with respect to the longitudinal direction of the main body is an acute angle. The angle is preferably 20° to 60°. The medical tube thus configured is for use in treatment of a disorder in a pelvic organ, by indwelling an implant between a urethral lumen and a vaginal cavity.

MEDICAL TUBE AND MEDICAL TUBE ASSEMBLY

A medical tube is disclosed, which can include a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; and a state maintaining mechanism for maintaining a connected state of the distal separable piece and the proximal separable piece. In addition, the main body is inserted into a body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end thereof are exposed outside of the body. In addition, the state maintaining mechanism can include a string which is disposed inside the main body and interlocks the distal separable piece and the proximal separable piece, and the connected state can be released by cutting the string. 1. A medical tube to be used in introducing into a living body a belt-shaped elongated article for treatment of a pelvic organ , the medical tube comprising:a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; anda state maintaining mechanism maintaining a connected state of the distal separable piece and the proximal separable piece,wherein the main body is inserted into the body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end of the main body are exposed outside of the body.2. The medical tube according to claim 1 , wherein the state maintaining mechanism has an interlock member claim 1 , which is disposed in the main body and interlocks the distal separable piece and the proximal separable piece.3. The medical tube according to claim 1 , wherein the main body has a section curved in a circular arc shape.4. The medical tube according to claim 1 , wherein the main body which is tubular in shape has an internal space so configured that the belt-shaped elongated article can be inserted ...

SUTURE-BASED CLOSURE WITH HEMOSTATIC TRACT PLUG

Devices for closing a passage through tissue communicating with a body lumen. The device may include an elongate body, a sheath disposed at the distal end of the device for disposition within a body lumen, a hollow needle disposed within a needle lumen of the body, the needle being selectively advancable through the needle lumen, a suture-anchor ejection mandrel disposed within the hollow needle that is also selectively advancable through the hollow needle, a suture-anchor and suture disposed within the hollow needle, a distal end of the suture attached to the suture anchor for ejection out the hollow needle by the mandrel. A needle guide disposed between the sheath and proximal end of the body may include a needle port through which the needle can exit. A hemostatic plug is disposed over the needle port so as to be penetrated by the needle upon exiting the port. 1. A device for closing a passage through tissue communicating with a body lumen , the device comprising:an elongate body extending from a proximal end to a distal end;at least one hollow needle disposed within a corresponding needle lumen of the elongate body, the at least one hollow needle being selectively advancable through the needle lumen;a needle guide disposed intermediate the proximal end and the distal end of the elongate body, the needle guide comprising at least one needle port through which the corresponding hollow needle can exit during use; andat least one hemostatic plug disposed over the needle port about the needle port on an exterior surface of the needle guide so as to be penetrated by a corresponding hollow needle during use.2. The device of claim 1 , further comprising a marker port disposed on an exterior surface of the needle guide that is in fluid communication with a marker lumen extending through the needle guide and the elongate body.3. The device of claim 1 , wherein the needle lumen further comprises a guide ramp claim 1 , the guide ramp guiding deflection of the hollow needle ...

TETHER LINE SYSTEMS AND METHODS FOR TONGUE OR OTHER TISSUE SUSPENSION OR COMPRESSION

Systems and methods of placing one or more suture loops into tissue, such as the base of the tongue, are described. A system can include a variable-thickness suspension line for suspending tissue, including a suture having a first thickness dimension; an elastomer surrounding a portion of the suture and defining a central segment of the suspension line having a second thickness dimension greater than the first thickness dimension, and at least one transition zone extending from the central segment of the suspension line to a lateral end of the suspension line, the transition zones having a thickness dimension that tapers from the second thickness dimension to the first thickness dimension. 1. A variable-thickness suspension line for suspending tissue , comprising:a suture having a first thickness dimension;an elastomer surrounding a portion of the suture and defining a central segment of the suspension line having a second thickness dimension greater than the first thickness dimension, and at least one transition zone extending from the central segment of the suspension line to a lateral end of the suspension line, the transition zones having a thickness dimension that tapers from the second thickness dimension to the first thickness dimension.2. The suspension line of claim 1 , further comprising a plurality of transition zones claim 1 , each transition zone extending from the central segment of the suspension line to respective lateral ends of the suspension line.3. The suspension line of claim 1 , wherein the elastomer is overmolded onto the suture.4. The suspension line of claim 1 , wherein the elastomer comprises silicone.5. The suspension line of claim 1 , wherein the suture is braided.6. The suspension line of claim 1 , further comprising a radiopaque marker operably attached to the suture.7. The suspension line of claim 1 , wherein the radiopaque marker is disposed on the central segment of the suspension line.8. The suspension line of claim 1 , wherein the ...

NEEDLE HARVESTING DEVICES, SYSTEMS, AND METHODS

A needle removal device is provided for removing needles from suturing devices and/or systems. In an embodiment, the needle removal device may be intended for use with a suturing device having one or more needle lumens. The needle removal device may include a first member having a first plurality of needle receptacles extending therethrough. The first needle receptacles may be configured and positioned to correspond to one or more of the one or more needle lumens of the suturing device. The needle removal device may also include a second member having a second plurality of needle receptacles extending therethrough. At least one of the first member or the second member may be moveable between a first position, wherein the first needle receptacles and the second needle receptacles are substantially aligned, and a second position, wherein the first needle receptacles and the second needle receptacles substantially unaligned. 1. A needle removal device intended for use with a suturing device , the suturing device having one or more needle lumens , the needle removal device comprising:a first member having a first plurality of needle receptacles extending therethrough, the first needle receptacles being configured and positioned to correspond to one or more of the one or more needle lumens of the suturing device; anda second member having a second plurality of needle receptacles extending therethrough, wherein at least one of the first member or the second member is moveable between a first position, where the first needle receptacles and the second needle receptacles are substantially aligned, and a second position, where the first needle receptacles and the second needle receptacles are substantially unaligned.2. The device of claim 1 , wherein the first position is configured to allow one or more needles to be moveable within at least one of the first needle receptacles or the second needle receptacles claim 1 , and wherein the second position is configured to at ...

SYSTEMS AND METHODS FOR INCREASED OPERATING ROOM EFFICIENCY

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle. 1293.-. (canceled)294. An apparatus for storing a plurality of needles , the apparatus comprising:a housing defining a needle slot and a lateral opening into the needle slot, the needle slot comprising a secure zone configured to store the plurality of suture needles therein,wherein the housing further defines a needle driver channel extending along a length of an upper side of the housing, the needle driver channel configured to receive a tip of a needle driver therethrough as the needle driver advances each of the plurality of suture needles along the needle slot into the secure zone.295. An apparatus as in claim 294 , wherein the needle slot has a length claim 294 , a width claim 294 , and a thickness claim 294 , and wherein the needle driver channel extends along at least a portion of the length of the needle slot.296. An apparatus as in claim 295 , wherein the length of the needle slot is greater than the width of the needle slot claim 295 , and wherein the width of the needle slot is greater than the thickness of the needle slot.297. An apparatus as in claim 295 , wherein the needle driver channel extends through the thickness of the needle slot.298. An apparatus as in claim 294 , wherein the lateral opening is configured to move each ...

Articulating needle

An arthroscopic needle having partial cuts or serrations along one side of a circular, hollow needle shaft allows the needle to bend, or articulate, by drawing a pull strip bar, defined by a thin strip along the interior side closet to the serrations in the hollow shaft, for compressing along the cuts to draw uncut segments into closer arrangement for curving the needle in the direction of the compressed side. The selectively articulating, or “bendable” needle that curves in response to a rotating knob provides for insertion of surgical attachment anchors in difficult-to-reach areas of meniscal tissue. The disclosed articulating needle has the ability to bend and access more anterior and posterior zones of meniscal repairs than conventional rigid needle approaches.

ADJUSTABLE KNOTLESS LOOPS

Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone. 120.-. (canceled)21. A suture anchor assembly , comprising:an anchor for insertion into a hole in a bone, the anchor having a longitudinal axis that extends between a proximal end and a distal end of the anchor, the anchor including a first opening in the proximal end of the anchor which leads to a longitudinal interior bore in the anchor, the anchor further including a second opening in a side wall of the anchor which leads to a transverse passage in the anchor, the transverse passage proximate the distal end of the anchor and connecting the longitudinal interior bore in the anchor to a longitudinal exterior channel in the anchor that extends along an outer surface of the anchor; andan adjustable suture construct that includes a suture with a first free end that passes through a first longitudinal passage in the suture to form a first adjustable loop, wherein the adjustable suture construct is coupled to the anchor such that the first longitudinal passage in the suture: (i) extends along the longitudinal interior bore; (ii) passes through the transverse passage; (iii) exits the anchor through the second opening in the side wall of the anchor; and (iv) extends along the outer surface of the anchor in the longitudinal exterior channel in the anchor.22. The suture anchor assembly of claim 21 , wherein the first longitudinal passage in the suture extends along the entirety of the longitudinal interior bore in the anchor.23. The suture anchor assembly ...

Scaffold for spring ligament repair

A construct is disclosed that may be used to repair or replace a natural ligament. The construct may be formed of materials for biocompatibility and/or resorbtion. The construct may be provided or connected to a soft anchor for connection to a bone portion.

Devices and methods for suture placement

A suturing device includes an elongate body, a needle holder, an actuator, a needle and a needle retainer. The needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The needle holder includes a distal end section having a distal-most tip, and defines a needle passage and a distal opening adjacent the distal-most tip. The actuator is operable between a first operating position and a second operating position. Movement of the actuator from the first operating position toward the second operating position moves the needle in an advance direction. The needle is in the needle passage. The needle retainer engages the needle holder and the needle when the actuator is in the first operating position and inhibits movement of the needle toward distal opening while the actuator is in the first operating position.

POINT-LOADING KNOTLESS FIXATION DEVICES

Surgical constructs and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair constructs include a fixation device, a flexible strand, and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device to allow desired tensioning of soft tissue to be fixated or repaired relative to the bone. 1a fixation device comprising a cannulated body, a longitudinal axis, a proximal end, and a distal end;a fixed loop construct secured to the fixation device, the fixed loop construct comprising a first flexible strand having a fixed loop and a distal end, wherein the fixed loop construct is secured to the fixation device at the distal end; anda flexible construct comprising a second flexible strand and a shuttling device provided within the second flexible strand, wherein both the second flexible strand and the shuttling device extend through the cannulated body of the fixation device and along the longitudinal axis.. A surgical system for tissue repairs, comprising: This is a continuation of application Ser. No. 14/989,451, filed Jan. 6, 2016, the entire disclosure of which is herein incorporated by reference.The present invention relates to surgical devices and methods of tissue repair and, in particular, to devices and methods for repair or fixation of soft tissue to bone without the need for knots.The present invention provides knotless tensionable surgical constructs with various designs and methods of fixation of soft tissue to bone with the ability to tension/retension after their implantation. The surgical constructs are provided with flexible constructs comprising a tensionable loop that can be point-loaded by a flexible strand or loop. The tensionable knotless surgical constructs have applicability to soft tissue repairs including labral, rotator cuff, Achilles tendon, and biceps, among others. Methods of tissue repair techniques are also ...

DEVICES, SYSTEMS, AND METHODS FOR ANCHORING SUTURES

Various devices, systems, and methods for anchoring sutures are provided In general, a suture anchor can include a groove formed in an exterior surface thereof and configured to seat a suture at least partially therein. The suture can be configured to automatically become seated in the groove during the advancement of the anchor into bone, such as by being rotated therein using a driver tool. The suture and the groove can have cooperating sizes such that the suture seated in the groove extends radially outward therefrom to be partially located outside of the anchor. This external portion of the suture can be press fit between the anchor and the bone, thereby securing both the anchor and the suture to the bone. This securing can occur as part of driving the anchor into bone. 1. A surgical system , comprising:a suture anchor configured to be disposed in bone, the suture anchor having a suture-seating feature at a distal end thereof, and the suture anchor having a helical groove formed in an exterior surface thereof, the groove having a maximum depth, having a length, and being configured to seat a suture at least partially therein along the length of the groove.2. The system of claim 1 , wherein the helical groove is a single continuous groove.3. The system of claim 1 , wherein the helical groove includes a plurality of discrete grooves that together define a helical shape.4. The system of claim 1 , further comprising a suture configured to be seated in the helical groove claim 1 , the suture having a diameter claim 1 , the diameter of the suture being greater than the maximum depth of the groove.5. The system of claim 1 , further comprising a suture coupled to the suture anchor and configured to move from a first configuration claim 1 , in which none of the suture is seated in the groove claim 1 , to a second configuration claim 1 , in which an intermediate portion of the suture between terminal ends thereof is at least partially seated in the groove.6. The system of ...

KNOTLESS CLOSURE SUTURES AND METHODS OF TISSUE FIXATION

Surgical suturing constructs, suture anchor assemblies, and methods of tissue fixation are disclosed. The suturing construct includes a bumpy suture. A suturing construct may include one or more small loops on a distal end. A suturing construct may include a splice terminating into a tapered portion/region at a proximal end. A bumpy suture of a suturing construct may form a knotless, closed, self-locking loop around tissue. 1. A suturing construct , comprising:a coreless suture having a first end and a second end in the form of a tapered end portion;an inner filament with a plurality of enlargements, the inner filament and the plurality of enlargements being completely covered by the coreless suture; anda locking mechanism at the first end.2. The suturing construct of claim 1 , wherein the plurality of enlargements do not penetrate an outer surface of the coreless suture claim 1 ,3. The suturing construct of claim 1 , wherein the plurality of enlargements are barbs claim 1 , knots claim 1 , beads claim 1 , protuberances or combinations thereof.4. The suturing construct of claim 1 , wherein the plurality of enlargements allow locking of the suturing construct.5. The suturing construct of claim 1 , wherein each of the plurality of enlargements has an outer diameter greater than an outer diameter of the inner filament.6. The suturing construct of claim 1 , wherein each of the plurality of enlargements has an outer diameter greater than an outer diameter of the coreless suture.7. The suturing construct of claim 1 , wherein the coreless suture is a coreless braid or sheath formed of twisted yarns of ultrahigh molecular weight polyethylene that are braided together.8. The suturing construct of claim 1 , wherein the coreless suture is a coreless braid or sheath formed of polyester yarns.9. (canceled)10. The suturing construct of claim 1 , wherein the coreless suture is provided with a closed loop at the first end.11. The suturing construct of claim 10 , wherein the closed ...

SUTURING KIT AND PACKAGE

A suturing kit includes a suture and a suture holder for holding the suture. The suture has a first end and a second, opposite, end. The suture holder includes an elongated wall defining a suture receiving passage that is elongated along a longitudinal axis and terminates at a suture exit opening. The suture receiving passage has a width at least twice the diameter of the suture and receives the suture such that the suture is folded over forming a half loop section spaced from the suture exit opening. A first second of the suture extends from the half loop section toward the first end and a second section of the suture extends from the half loop section towards the second end. The first section and the second section of the suture within the suture receiving passage are aligned parallel to the longitudinal axis. 1. A suturing kit comprising:a suture, which is a double-armed suture, having a first end and a second, opposite, end;a suture holder including an elongate wall defining a suture receiving passage that is elongated along a longitudinal axis and terminates at a suture exit opening, the suture receiving passage having a width at least twice the diameter of the suture and receiving the suture such that the suture is folded over forming a half loop section spaced from the suture exit opening, a first section extending from the half loop section toward the first end, and a second section extending from the half loop section toward the second end, wherein each of the first section and the second section of the suture from adjacent to the half loop section to the suture exit opening within the suture receiving passage are aligned along the longitudinal axis;a first needle at the first end of the suture and a second needle at the second end;a first suturing device having a portion configured to be inserted into a patient during a procedure, the first suturing device including a first needle holder configured to hold the first needle; anda second suturing device, ...

SUTURE THREAD PRODUCTS

There is provided a product comprising a suture thread which, prior to being used to form a surgical suture, is in a stressed state which gives the suture thread a tendency to undergo lengthwise viscoelastic contraction. The suture thread undergoes viscoelastic contraction when in use as a surgical suture and this may promote wound healing to a greater extent than a conventional suture thread which does not undergo viscoelastic contraction. 1. A product comprising a suture thread and a package , the suture thread being sterile and being enclosed within the package so that the package maintains the suture thread sterile , the suture thread having a length , and being in a stressed state which gives the suture thread a tendency to undergo lengthwise viscoelastic contraction.2. The product according to claim 1 , wherein the suture thread is maintained in said stressed state by a structure engaged with the suture thread so as to resist lengthwise viscoelastic contraction of the suture thread by application of a force to the suture thread claim 1 , the structure being disengageable from the suture thread to allow lengthwise viscoelastic contraction of the suture thread when it is desired to use the suture thread to form a surgical suture.3. The product according to claim 2 , wherein the structure is part of the package.4. A product comprising a suture thread and a structure engaged with the suture thread claim 2 , the suture thread having a length and two opposed ends claim 2 , the suture thread being in a stressed state which gives the suture thread a tendency to undergo lengthwise viscoelastic contraction claim 2 , said engagement resisting lengthwise viscoelastic contraction of the suture thread by application of a force to the suture thread and comprising the suture thread being wound around a portion of the structure and the two ends of the suture thread being secured to the structure claim 2 , the structure being disengageable from the suture thread to allow ...

TRANSAPICAL MITRAL VALVE REPAIR METHOD

Methods and devices for repairing a cardiac valve. A minimally invasive procedure includes creating an access in the apex region of the heart through which one or more instruments may be inserted. The device can implant artificial heart valve chordae tendineae into cardiac valve leaflet tissues to restore proper leaflet function and prevent reperfusion. The device punctures the apex of the heart and travels through the ventricle. The tip of the device rests on the defective valve and punctures the valve leaflet. A suture or a suture/guide wire combination is inserted, securing the top of the leaflet to the apex of the heart. A resilient element or shock absorber mechanism adjacent to the outside of the apex of the heart minimizes the linear travel of the device in response to the beating of the heart or opening/closing of the valve. 1. A method comprising:introducing into a ventricle of a heart proximate to a heart valve leaflet a suture having a distal portion and a proximal portion;piercing the leaflet from a ventricular side of the leaflet to an atrial side of the leaflet to form an opening in the leaflet;passing through the opening from the ventricular side to the atrial side the distal portion of the suture disposed in a first configuration, and with the proximal portion of the suture remaining on the ventricular side of the leaflet; andcausing the distal portion of the suture to change from the first configuration to a second configuration, the second configuration being larger than the opening in the leaflet.2. The method of claim 1 , further comprising fixing the proximal portion of the suture to the heart.3. The method of claim 1 , wherein:the distal portion of the suture is formed as a coil having a plurality of turns;in the first configuration, the coil is straight; andin the second configuration, the coil is a loop.4. The method of claim 1 , wherein:the introducing includes introducing into the ventricle a needle having a distal portion and having the ...

Cosmetic Implant

The invention concerns an implant for adjusting the position of at least one tissue holder ( 6 ) for soft tissue, whereby this implant can be fixed to bone tissue at a distance from said tissue holder ( 6 ) and has a guide ( 3 ) for an elongate pulling member ( 4 ), whereby this pulling member ( 4 ) is connected to said tissue holder ( 6 ), and whereby the implant includes a fixing element ( 10 ) which can be moved between a fixing position in which the pulling member ( 4 ) is clamped by the fixing element ( 10 ) and a free position in which said pulling member ( 4 ) can freely move through said guide ( 3 ), characterised in that said fixing element ( 10 ) cooperates with a control element ( 14 ) which makes it possible to move this fixing element ( 10 ) between said fixing position and said free position when the implant is attached to said bone tissue and when the implant is covered with soft tissue such as muscle tissue or skin tissue.

SUTURE FOR SOFT TISSUE REPAIR

A method for repairing a soft tissue includes boring a first nest in a portion of a bone at a first location, boring a second nest through a portion of the bone at a second location, shuttling a suture from a top surface of the soft tissue to a bottom surface of the soft tissue, disposing a first suture anchor in the first nest and fixating the first suture anchor to the first location, passing the suture through the first suture anchor, the bottom surface of the soft tissue and the top surface of the soft tissue to form a medial row, disposing a second suture anchor in the second nest and fixating the second suture anchor to the second location, passing the suture through the second suture anchor from the top surface of the soft tissue to form a lateral row, and tensioning the suture. 1. A method for repairing a soft tissue comprising:boring a first nest in a portion of a bone at a first location;boring a second nest through a portion of the bone at a second location;shuttling a suture from a top surface of the soft tissue to a bottom surface of the soft tissue;disposing a first suture anchor in the first nest and fixating the first suture anchor to the first location;passing the suture through the first suture anchor, the bottom surface of the soft tissue and the top surface of the soft tissue to form a medial row;disposing a second suture anchor in the second nest and fixating the second suture anchor to the second location;passing the suture through the second suture anchor from the top surface of the soft tissue to form a lateral row; andtensioning the suture.2. The method of claim 1 , wherein a first region proximate to a first end of the suture;', 'a second region; and', 'a third region proximate to a second end of the suture, and, 'the suture comprisesthe first end of the suture is passed through the second region of the suture.3. The method of claim 2 , wherein the suture is an asymmetric suture claim 2 , the asymmetric suture defined claim 2 , at least in ...

Surgical fastener delivery and locking mechanism

The invention provides a fastening device for laparoscopic hernia repair. The coordinated operation of two insertion members stabilizes a fastener during closure and locking to ensure that the fastener is locked in the intended location before the device releases from the fastener. One of the insertion members includes a pair of prongs that exhibit a closed configuration when they are disposed in a recess at an end of the fastener. The fastener has a hook at one end and a loop at the other end. The insertion members push the fastener out from the device and through the tissue. A curvature in at least one of the insertion members pushes the hook through the loop all while the prongs are in the recess in the fastener, thereby stabilizing the fastener with respect to the device.

Shape memory patch for tissue repair

A patch of material is configured to be applied to human tissue. The patch includes a film comprising poly(L-lactide) and poly(#-caprolactone). The film is configured to self-deploy between a first position and a second position in response to a temperature. The film is applied to the human tissue when the patch of material is in the second position, in which the film has a planar configuration.

Colored Suture Construction

A suture made of a woven braid of fibers is provided. The suture includes: at least one first end; at least one second end comprising a colorable material wherein the second end has been colored a single color along an entire length of the second end; and at least one third end comprising a colorable material wherein only a portion of the third end is colored a continuous color. In another embodiment, a method of manufacture of a suture is provided. The method includes: braiding an elongate suture from a first end, a second end comprising a colorable material, and a third end comprising a colorable material; coloring the second end a single first color along an entire length of the second end; coloring only a first portion of the third end a second color. 1. A suture comprising: at least one first end;', 'at least one second end comprising a colorable material wherein the second end has been colored a single color along an entire length of the second end; and', 'at least one third end comprising a colorable material wherein only a portion of the third end is colored a continuous color., 'a woven braid of fibers comprising2. The suture of claim 1 , wherein at least one first end is ultra-high molecular weight polyethylene and is at least one of either: white and clear.3. The suture of claim 2 , wherein either the at least one second end and the at least one third end include at least one material of the following materials:polypropylene monofilament, nylon, polyethylene, or polyester.4. The suture of claim 1 , wherein each of the three ends has a distinct color claim 1 , the at least one first end is at least one of: white and clear; the at least one second end and at least one third end are colored different colors from each other and the at least one first end.5. The suture of claim 1 , wherein at least one end is at least partly blue and at least one end is at least partly green.6. The suture of claim 1 , wherein the at least one third end is colored only about ...

TISSUE REPAIR AND FIXATION SYSTEM AND METHODS

A tissue repair or fixation system comprises an implant and a delivery tool configured to deploy the implant at least partially into tissue of a patient. The implant includes first and second tissue anchors and an adjustable suture assembly coupled thereto. The adjustable suture assembly includes a knotless locking element. 1. A tissue repair or fixation device comprising:first and second tissue anchors sized and shaped to be disposed in a tubular member of a delivery tool; and a distal segment of the braided suture material attached to the first tissue anchor;', 'an intermediate segment of the braided suture material extending proximally from the distal segment and including a locking element and an adjustable loop, wherein a portion of the intermediate segment extends internally within the braided suture material of the locking element, and wherein the second tissue anchor is slidably coupled to the braided suture material of the adjustable loop; and', 'a proximal segment of the braided material extending proximally from the intermediate segment and operable by a user to be placed in tension to reduce the length of the adjustable loop., 'a flexible connecting element coupling the first and second tissue anchors, the connecting element at least partially formed from a tubular braided suture material and including2. The tissue repair or fixation device of claim 1 , wherein the braided suture material is tubular and includes an outer wall claim 1 , and wherein the locking element has a proximal end and a distal end claim 1 , and wherein the portion of the intermediate segment extending internally within the braided suture material of the locking element enters the braided suture material at the proximal end of the locking element and exits the braided suture material at the distal end of the locking element.3. The tissue repair or fixation device of claim 1 , wherein the braided suture material is tubular and includes an outer wall claim 1 , and wherein the locking ...

CIRCULAR BONE TUNNELING DEVICE

An adjustable suture passer for use in arthroscopic surgery is disclosed. In a preferred embodiment, the adjustable suture passer comprises a head that describes a semicircular arc, an elongate body, a support element, and driving and control mechanisms. The head is adapted to accommodate a surgical needle and a guide wire, When the adjustable suture passer is activated, the needle is driven with sufficient force to penetrate bone. Use of the adjustable suture passer thus enables surgical attachment of soft tissue to bone without any necessity for a separate anchor. 1. A bone tunneling device , for use in arthroscopic surgery , comprising:a surgical needle adapted to tunnel through a bone along a circular path;a hollow elongate body enclosing said surgical needle; andan extendable and retractable element, movable between at least one extended configuration and at least one retracted configuration;said extendable and retractable element including a portion which is adapted to be located along said circular path.2. The bone tunneling device according to claim 1 , wherein said surgical needle is a rigid surgical needle.37-. (canceled)8. The bone tunneling device according to claim 1 , additionally comprising an extendable and retractable element driving mechanism claim 1 , adapted claim 1 , upon activation of an extendable and retractable element control claim 1 , to drive the motion of said extendable and retractable element.9. The bone tunneling device according to claim 1 , additionally comprising a surgical needle driving mechanism operative to control the motion of said tube surgical needle.10. The bone tunneling device according to claim 9 , wherein said surgical needle driving mechanism is operated independently of said extendable and retractable element.11. The bone tunneling device according to claim 9 , wherein upon activation of said surgical needle driving mechanism claim 9 , said surgical needle is moved along said circular path to penetrate said bone.12. ...

Adjustable knotless loops

Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone.

INDIRECT ATTACHMENT OF A NEEDLE TO A MESH SUTURE

A medical device includes a surgical needle, an elongated suture, and an intervening segment. The elongated suture has a first end proximate to the needle and a second end located away from the needle. The elongated suture also includes a plurality of fibers defining a mesh wall between the first and second ends. A plurality of pores extend through the mesh wall, at least some which are in the macroporous size range of greater than 200 microns for facilitating tissue integration when introduced into a body. The intervening segment is disposed between and connected to either or both ends of the elongated suture and the needle. The intervening segment includes one or more fibers of the plurality of fibers and has a cross-sectional dimension smaller than a cross-sectional dimension of the mesh wall such that the intervening segment facilitates indirect attachment of the elongated macroporous mesh suture to the needle. 135.-. (canceled)36. A method of manufacturing a medical device , comprising:creating an elongated suture having a first end and an opposite second end, the elongated suture including a plurality of fibers defining a mesh wall extending between the first and second ends, a plurality of pores extending through the mesh wall, at least some of the pores in the microporous size range of greater than 200 microns and adapted to facilitate tissue integration through the mesh wall when introduced into a body;providing an intervening segment disposed between and adapted to connect the first end of the elongated suture and the needle, wherein the intervening segment comprises multiple intervening segments adapted to be connected together; andattaching the first end of the elongated suture to the surgical needle by connecting the multiple intervening segments together.37. The method of claim 36 , wherein providing the intervening segment comprises providing a first intervening segment at the first end of the suture and providing a second intervening segment at the ...

SUTURE GUIDE AND RELATED PARTS, KITS, AND METHODS

A suture guide includes a first part having a first base piece and a plurality of first needle portions joined to the first base piece. Each first needle portion has a respective first needle portion sidewall. The suture guide further includes a second part having a second base piece and a plurality of second needle portions joined to the second base piece. Each second needle portion has a respective second needle portion sidewall. The first part and second part are moveable between a separated configuration and a joined configuration. In the separated configuration, the first needle portions are spaced away from the second needle portions. In the joined configuration, each one of the first needle portions is positioned adjacent and cooperates with a respective one of the second needle portions to form a needle. 1. A suture guide comprising:first suture guide part having a first base piece and a plurality of first needle portions joined to the first base piece, each first needle portion having a respective first needle portion sidewall; anda second suture guide part having a second base piece and a plurality of second needle portions joined to the second base piece, each second needle portion having a respective second needle portion sidewall;wherein the first suture guide part and second suture guide part are moveable between a separated configuration and a joined configuration;wherein in the separated configuration, the first needle portions are spaced away from the second needle portions; andwherein in the joined configuration, each one of the first needle portions is positioned adjacent and cooperates with a respective one of the second needle portions to form a needle, each needle having a respective needle sidewall formed by one of the first needle portion sidewalls and one of the second needle portion sidewalls, and each needle sidewall defining, respectively, a lumen and a pointed tip.2. The suture guide of claim 1 , wherein:each first needle portion ...

Self-retaining sutures of poly-4-hydroxybutyrate and copolymers thereof

Absorbable monofilament fibers and self-retaining sutures with high tensile strengths have been developed. The straight pull tensile strengths of the absorbable self-retaining sutures closely approximate, equal or exceed the average minimum knot-pull tensile standards set by the United States Pharmacopeia (USP). These higher strength absorbable self-retaining sutures can therefore be used either without needing to oversize the suture for a given procedure, or by oversizing the self-retaining suture by no more than 0.1 mm in diameter. In one embodiment, the absorbable self-retaining sutures are made from poly-4-hydroxybutyrate or copolymers thereof. Methods for producing absorbable self-retaining sutures that have high tensile strengths and pronounced sheath-core structures wherein the sheath is harder than the core are also provided. The self-retaining sutures may be made by spinning and orienting a monofilament fiber of poly-4-hydroxybutyrate or copolymer thereof and inserting retainers in monofilament fibers.

KNOTLESS SUTURE, AND KIT CONTAINING SAME

The present invention relates to a suture which is firmly maintained and fixed to an operation site to stably sustain suturing or lifting effects for a long time. More specifically, the present invention provides a suture having a conic or pyramidal shape with a cut top, wherein a suture supporter comprising a communication hole penetrating the both ends is provided at one end. The suture support can have one or more portions which are cut vertically from a lower end at a lower end portion having a larger diameter between the both ends, or a part of the lower end can be removed so as to form one or more gaps formed from the end at a wall of the end portion. 124-. (canceled)25. A suture comprising:first and second ends; anda suture supporter adjacent to the first end of the suture,wherein the suture supporter has upper and lower end portions, and a communication hole through which the upper and lower end portions communicate with each other,wherein the suture supporter is disposed such that the upper end portion faces the first end of the suture,wherein the suture supporter is formed of a material absorbable by a body,wherein the suture near the first end with reference to the upper end portion is formed of two strands having a knot,wherein the two strands penetrate through the communication hole from the upper end portion to the lower end portion, with the second end formed in a closed shape, andwherein the suture supporter has a truncated conical shape or a truncated pyramid shape, and a diameter of the lower end portion is greater than that of the upper end portion.26. The suture of claim 25 , wherein the suture penetrates and is inserted into an inside of a tissue beginning with its first end.27. The suture of claim 26 , wherein a portion of the suture constituted by a single strand claim 26 , which is folded substantially in half claim 26 , becomes the second end claim 26 , while a side of the suture opposite to the folded portion becomes the first end.28. The ...

Suture fixation device and method thereof

A suture fixation device and method thereof is provided. The suture fixation device includes a suture fiber having a length of about 24 to 40 inches and a plurality of knots spaced apart from each other along the length of the suture fiber. Each of the plurality of knots has an overall width of about 3.0 to 4.0 mm.

APPARATUS AND METHOD FOR SUTURING A TISSUE

An apparatus for suturing a tissue. The apparatus includes an outer tube, a thread threaded in the outer tube and at least one anchoring element located inside the outer tube and configured to be inserted into the tissue from an outlet end of the outer tube. The outer tube is configured to freely accommodate the thread and the at least one anchoring element, and the anchoring element includes a body adapted to be threaded on the thread and having at least locking element for locking the thread to the anchoring element. 1. An apparatus for suturing tissue , comprising:(a) an elongated shaft;(b) a needle disposed inside said elongated shaft such that a sharp end of the needle is in proximity to a distal end of said elongated shaft, wherein said needle is advanceable distally within said elongated shaft, to penetrate the tissue;(c) a handle disposed at a proximal end of said elongated shaft;(d) a thread disposed along the length of said elongated shaft; disposed inside said needle, along the length of said needle,', 'threaded on said thread, and', a tubular elongated body through which said thread is threaded, and', 'a fin configured to extend away from said body at a sharp angle with respect to said body, wherein said fin is configured at least to prevent the anchoring element from slipping back, out of the tissue;', 'and, 'each of said anchoring elements comprising], '(e) multiple anchoring elements bend after exiting the distal end of said elongated shaft, and', 'consecutively push the fin of each of said anchoring elements until the respective anchoring element is ejected out of the distal end of said elongated shaft and implanted into the tissue,', 'wherein the bending of said elongated flexible pusher and the pushing of the respective fin cause the respective anchoring element to travel in a curved route through the tissue., '(f) an elongated flexible pusher disposed inside said elongated shaft and being triggerable by said handle, wherein said elongated flexible ...

Suture stitches for continuous surgical suturing

A device for making continuous suture stitches including a handle and a device head. The handle including a power source for the device head and a means for attachment to the device head. The device head including a suture thread supply; a needle rotationally movable, operable for moving the thread through a tissue; a hook operable for hooking and lifting the thread in automatic coordination with the needle; and a catcher operable for moving the thread into and out of the hook in automatic coordination with the hook; thereby providing a device for making continuous suture stitches for adjoining a first edge and a second edge of a tissue in an edge-to-edge interface.

Devices and methods for surgical fastening

An apparatus and a method for surgical fastening is disclosed. An illustrative apparatus for tissue suturing includes a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis, a reciprocating needle drive, and an actuator capable of releasably engaging the needle drive to rotate the needle. A method for suturing tissue is provided that includes placing a suturing device having a cartridge containing a suturing needle to span at least one tissue segment, activating an actuator to cause rotational movement of the suturing needle through the at least one tissue segment, and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the at least one tissue segment forming a stitch.

MESH SUTURE WITH ANTI-ROPING CHARACTERISTICS

A medical device includes a surgical needle attached to a mesh suture having anti-roping elements. The suture is constructed of a macroporous mesh wall that facilitates and allows tissue integration subsequent to introduction to the body, thereby preventing suture pull-through and improving biocompatibility. Advantageously, the anti-roping elements serve to maintain the desired construct of the mesh wall when undergoing axial tensile loads by resisting elongation and loss of outer mesh wall macroporosity, while still permitting a flattening of the suture with lateral loading. 1. A medical device comprising:a surgical needle;an elongated suture having a first end attached to the surgical needle and a second end located away from the surgical needle, the elongated suture including a mesh wall and a plurality of pores extending through the mesh wall, at least some of the pores in the macroporous size range of greater than 200 microns and adapted to facilitate tissue integration through the mesh wall of the suture when introduced into a body; andone or more anti-roping elements fixed to the mesh wall, the anti-roping elements resisting elongation of the elongated suture when a tensile load is applied along an axial direction between the first and second ends of the elongated suture.2. The medical device of claim 1 , wherein the one or more anti-roping elements resists collapsing of the mesh wall upon itself claim 1 , which would otherwise result in a reduction in pore size claim 1 , when a tensile load is applied along an axial direction between the first and second ends of the elongated suture.3. The medical device according to claim 1 , wherein the one or more anti-roping elements comprises one or more longitudinal fibers extending between the first and second ends of the elongated suture and either (a) fixed at one or more points to the mesh wall claim 1 , or (b) not fixed to the mesh wall.4. The medical device according to claim 1 , wherein the one or more anti- ...

METHOD AND APPARATUS FOR COUPLING SOFT TISSUE TO A BONE

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor. 118.-. (canceled)19. A bone fixation assembly , comprising:an adjustable suture construct that includes a suture with a first free end and a second free end, the first free end extending through a first longitudinal passage in the suture to form a first adjustable loop, the second free end extending through a second longitudinal passage in the suture to form a second adjustable loop, wherein the first free end extends through the first longitudinal passage without extending through the second longitudinal passage, and wherein the second free end extends through the second longitudinal passage without extending through the first longitudinal passage, wherein, with the first free end extending through the first longitudinal passage in the suture to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the suture to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop; anda bone fixation member coupled to the adjustable suture construct.20. The bone fixation assembly of claim 19 , wherein claim 19 , with the first free end extending through the first longitudinal passage in the suture to form the first ...

METHOD AND APPARATUS FOR SECURING AN OBJECT TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ASSEMBLY FOR SECURING AN OBJECT TO BONE

A suture assembly including a first suture having a generally O-shaped configuration having a first arm, a second arm, a first bridge connecting the first arm to the second arm, and a second bridge connecting the first arm to the second arm. The first bridge opposes the second bridge so that the first suture includes a closed loop. A second suture having a first arm, a second arm and a bridge connecting the first arm to the second arm. The first arm of the second suture is wrapped around the first arm of the first suture in a first direction, and the second arm of the second suture is wrapped around the second arm of the first suture in a second, opposite direction. The suture assembly is capable of assuming (i) a longitudinally-extended, radially-contracted first configuration, and (ii) a longitudinally-contracted, radially-expanded second configuration. 1. A suture assembly comprising:a first suture having a generally U-shaped configuration comprising a first arm, a second arm and a bridge connecting the first arm to the second arm;a second suture comprising a first arm, a second arm and a bridge connecting the first arm to the second arm;the first arm of the second suture being wrapped around the first arm of the first suture in a first direction, and the second arm of the second suture being wrapped around the second arm of the first suture in a second, opposite direction;the suture assembly being capable of assuming (i) a longitudinally-extended, radially-contracted first configuration, and (ii) a longitudinally-contracted, radially-expanded second configuration.2. A suture assembly according to wherein the suture assembly is transformed from its longitudinally-extended claim 1 , radially-contracted first configuration to its longitudinally-contracted claim 1 , radially-expanded second configuration by moving the wrapped portions of the second suture along the first and second arms of the first suture.3. A suture assembly according to wherein the wrapped ...

Novel Suturing Thread For Facelift And Body Lift

The present invention relates to a suturing thread for providing a more efficient lift procedure, and provides a suturing thread for a facelift and a body lift, wherein the suturing thread is made of a polymer material and has a plurality of conical protrusions or a plurality of funneled protrusions formed on an outer circumferential surface of a main thread of the suturing thread. 1. A suturing thread for face lift and body lift made of a polymer or gold with a plurality of protrusions formed on an outer circumferential surface of a main thread of the suturing thread in which the protrusion has a stereo structure of cone , polygonal cone , truncated cone , modified polygonal cone , truncated polygonal cone , modified truncated polygonal cone , cylinder , modified cylinder , polygonal cylinder , or modified polygonal cylinder that are formed to have a radially symmetric structure around a main thread of the suturing thread , or has a funnel shape in which a part or whole of the space excluding the outer circumferential surface of the stereo structure and a main thread part of the suturing thread present inside is empty , and the plurality of protrusions is symmetrically arranged such that their vertices can face each other with respect to the center of the suturing thread.2. A suturing thread for face lift and body lift made of a polymer or gold with a plurality of paired protrusions or protrusion units formed on an outer circumferential surface of a main thread of the suturing thread in which the protrusion has a stereo structure of cone , polygonal cone , truncated cone , modified polygonal cone , truncated polygonal cone , modified truncated polygonal cone , cylinder , modified cylinder , polygonal cylinder , or modified polygonal cylinder that are formed to have a radially symmetric structure around a main thread of the suturing thread , or has a funnel shape in which a part or whole of the space excluding the outer circumferential surface of the stereo ...

Tissue Fixation Device

A tissue fixation device includes an elongated body extending between a distal portion including a barbed loop, and a proximal portion including a blunt tip. The elongated body, proximal portion, and distal portion are provided in a variety of configurations depending upon the performance requirements desired of the tissue fixation device for the envisaged application of use. 1. A tissue fixation device comprising a proximal portion including a blunt tip , an elongated body extending between the proximal portion and a distal portion , the distal portion including a barbed loop.2. The tissue fixation device of claim 1 , wherein the proximal portion is free of barbs.3. The tissue fixation device of claim 1 , wherein the proximal portion includes a loop.4. The tissue fixation device of claim 3 , wherein the loop is free of barbs.5. The tissue fixation device of claim 1 , wherein the proximal portion includes a cap.6. The tissue fixation device of claim 5 , wherein the cap is magnetic.7. The tissue fixation device of claim 5 , wherein a ring extends from a proximal end of the cap.8. The tissue fixation device of claim 1 , wherein the distal portion includes a pledget.9. The tissue fixation device of claim 8 , wherein the pledget includes a proximal surface and a distal surface claim 8 , the proximal surface including at least one dart extending proximally therefrom.10. The tissue fixation device of claim 8 , wherein the pledget is disposed at a distal-most end of the barbed loop.11. The tissue fixation device of claim 8 , wherein the pledget includes at least one pair of spaced openings claim 8 , and the barbed loop is laced through the openings.12. The tissue fixation device of claim 1 , wherein the barbed loop is configured to move from a first position in which the barbed loop is open and a second position in which the barbed loop is closed.13. The tissue fixation device of claim 12 , wherein the barbed loop includes a distal portion that is fixed to the elongated ...