| 序号 | 专利名 | 申请号 | 申请日 | 公开（公告）号 | 公开（公告）日 | 发明人 |
|---|---|---|---|---|---|---|
| 101 | Expandable body suture | US560682 | 1995-11-20 | US5645568A | 1997-07-08 | Alan Chervitz; Ramarao Gundlapalli |
| An expandable body suture that has a suture body that is formed in the manufacturing process over at least one pledget device that has an elongate shape with essentially a constant cross section along its mid-section and is of a diameter to fit snugly into a hole formed in a bone, ligament, tendon, or the like. The pledget device can be formed from a cloth, fabric or resinous material, is preferably resilient, is positioned in the suture body during manufacture or can be arranged on a cord or string whereover the suture body is formed during its manufacture as by weaving suture threads or strands thereover. For forming a hole in bone, ligament or tendon to receive the pledget device pulled therein, a needle or needles are secured to the suture body end or ends for forming the hole and pulling the suture body therethrough. | ||||||
| 102 | Method of tensioning a suspended tissue mass | US243503 | 1994-05-16 | US5582188A | 1996-12-10 | Theodore V. Benderev; Neil H. Naves; Mark J. Legome |
| The surgical treatment of stress urinary incontinence is disclosed. The disclosed methods include: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. A description of these methods and results of procedures with some of these methods are disclosed. Novel drill guides, suture passers, suture tensioners, and various related tools and devices for use in the surgical method are also disclosed. | ||||||
| 103 | Method and apparatus for re-approximating tissue | US354582 | 1994-12-13 | US5520691A | 1996-05-28 | Thomas P. Branch |
| Methods and apparatuses are described for attaching tendons, ligaments, or other tissue to bone, which includes the use of adjustable head members positioned along filament members. Also disclosed are methods and apparatuses for mending breaks in tissue such as skin or meniscal layers tissue such as skin or meniscal layers skin by use of similar elements. | ||||||
| 104 | Self-affixing suture assembly | US998950 | 1992-12-31 | US5403346A | 1995-04-04 | Edward A. Loeser |
| Disclosed is an elongate suture having a longitudinal axis, a needle end, a latch collar end, and a node for interacting with the latch collar end. The node lays laterally on the elongate suture transverse to the longitudinal axis and has a proximal and a distal edge with respect to the needle end. In the invention, a portion of the node's proximal edge is perpendicular to the elongate suture's longitudinal axis thus acting to prevent forward movement after the suture has been placed. Between the proximal and distal edges of a single notch is a top surface. This top surface will usually be planar or convex. In one embodiment of the device, the elongate suture has multiple nodes. The nodes are then spacedly positioned along the longitudinal axis of the suture cord, thus forming notches between the nodes. These notches are sized in relation to the collar to allow it to move along the longitudinal surface when the stitched tissue moves. | ||||||
| 105 | Method and apparatus for re-approximating tissue | US3264 | 1993-01-12 | US5370661A | 1994-12-06 | Thomas P. Branch |
| Provided is a method for attaching tissue to a bone, which includes the use of a filament member and a head member which engages the filament member and holds a tissue in place. Also provided is a device and method for repairing a break in tissue, which indicates the use of a filament member and at least one member which engages the filament member. | ||||||
| 106 | SURGICAL INSTRUMENT SYSTEM | PCT/US2006013456 | 2006-04-07 | WO2006110733A3 | 2010-07-08 | VOEGELE JAMES W; GILL ROBERT P; HESS CHRISTOPHER J; WEISENBURGH WILLIAM B; GEIS WILLIAM P; MURRAY MICHAEL A; MORGAN KAREN M |
| A surgical instrument system is provided for a hand-assisted, laparoscopic procedure. The system has a laparoscopic disc that is adaptable to hold multiple surgical instrument. Other elements in the surgical instrument system include a storage pouch for placement within the body cavity, a device for supporting tissue, a device for relocating tissue away from a surgical site, and tissue markers for marking tissue to plan a surgical event. | ||||||
| 107 | GLOSSAL ENGAGEMENT SYSTEM AND METHOD | PCT/US2007013877 | 2007-06-13 | WO2007146338A3 | 2008-04-17 | ROUE CHAD; DINEEN MICHAEL; HIROTSUKA MARK; JACKSON JASPER; FRAZIER ANDREW; VAN DER BURG ERIK |
| Methods and devices are disclosed for manipulating the tongue (9). An implant (3038) is positioned within at least a portion of the tongue (9) and may be secured to other surrounding structures such as the mandible (13) and/or hyoid bone (15). In general, the implant (3038) is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue (9). Methods and devices for engaging the tongue (9) are also disclosed. One embodiment of a tongue remodeling system includes an elongate implant (3038) configured to be positioned within a selected region of the tongue (9) and a tether (3041) configured to suspend the tongue (9). The tether (3041) can be configured to be looped around the elongate implant (3038) and connected to another structure. | ||||||
| 108 | APPARATUS AND METHOD OF ENDOSCOPIC SUTURING | PCT/US2005037329 | 2005-10-18 | WO2006044837A3 | 2006-07-13 | MILLER LARRY S |
| An adjustable suture assembly is provided that may be employed in various surgical procedures to draw and/or hold tissue and/or muscle together. The suture assembly may include a suture lock or tensioner that is adjustably securable to two or more lengths of suture to provide a surgeon with an ability to maintain tissue or muscle in one secured position and subsequently readjust the suture assembly to maintain the tissue or muscle in a different secured position. The suture assembly may include two or more sutures having an anchor attached to an end of each suture for anchoring the suture to desired tissue or muscle. An endoscopic suturing device is provided to deliver and place two or more sutures in tissue or muscle during a surgical procedure. The suturing device may be configured to carry a plurlaity of sutures so that multiple sutures can be placed in tissue or muscle during a single intubation of the device. The suture assembly and suturing device may be employed with an endoscope to facilitate surgical treatment of obesity which involves narrowing and/or disabling the pyloric sphincter to reduce the rate of gastric emptying. | ||||||
| 109 | APPARATUS AND METHODS FOR TENDON OR LIGAMENT REPAIR | PCT/US0231481 | 2002-10-02 | WO03034895A2 | 2003-05-01 | LUBBERS LAWRENCE M; HUGHES KENNETH E; COLEMAN CARL R; WILLIAMSON WARREN P; BERKY CRAIG B; WARD THOMAS J; HUDDLESTON MATTHEW J; GOLDIN MARK A; CHRISTY WILLIAM J; DE FAZIO PERRY; SCHUMACHER BRIAN SCOTT; MURPHY TERENCE LEE; LEWIS NICKOLA SYMONE; JARRETT JEREMY; YOUNG JOSEPH E |
| Apparatus and methods for repairing damaged tendons or ligaments. Various repair apparatus include an elongate tensile member 16 and a pair of anchor assemblies 10 connected for movement along the tensile member 16 on either side of a repair side, such as a tear or laceration. The anchor assemblies or structures 10 may take many forms, and may include barbed, helical, and crimp-type anchors. In the preferred embodiments, at least one anchor structure 10 is movable along the elongate tensile member 116 to assist with ajusting a tendon segment 100a, 100b to an appropriate repair position and the anchor structure 10 or structures 10 are then lockable onto the elongate tensile member 116 to assist with affixing the tendon 100 at the repair position. Tendon and/or ligament-to-bone repair apparatus and methods employ similar concepts. | ||||||
| 110 | A SUTURE ANCHOR | PCT/IB0100335 | 2001-03-09 | WO0167962B1 | 2002-03-14 | ROESCH THEODOR GERHARD |
| A suture anchor (10) is provided which includes an attachment formation for attaching a suture (17) to the anchor (10), the attachment formation (12) being configured to allow relative movement between the suture (17) and the anchor (10) in an inoperative direction and to inhibit relative movement between the suture (17) and the anchor (10) in an operative direction. Typically, the suture anchor (10) includes two attachment formations (12) arranged in side by side fashion. In certain embodiments, the attachment formation (12) is defined by a passage that extends through the anchor (10), the passage being shaped and dimensioned to inhibit retraction of the suture (17) in the operative direction. The attachment formation (12) and the anchoring portion (14) may be composite or integrally formed. The invention extends to a suture anchor attachment component for attaching a suture (17) to a suture anchor (10) and to a method of attaching tissue (17) to an anchoring substrate (20). Further, the invention also extends to a suture anchor insertion tool (24). | ||||||
| 111 | SURGICAL TREATMENT OF STRESS URINARY INCONTINENCE | PCT/US9210451 | 1992-12-03 | WO9310715A3 | 1993-07-08 | BENDEREV THEODORE V; NAVES NEIL HAMILTON |
| The surgical treatment of stress urinary incontinence can be improved by modifications that increase safety, efficacy and reproducibility. Thirty women with stress urinary incontinence underwent consecutive endoscopic bladder neck suspension with modifications designed to achieve those goals. Those modifications included: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. procedures were outpatient or with one day of hospitalization beyond the day that their catheter was removed. The immediate post-operative success rate was 100 %. There was one failure in a follow-up to 8 months. Urinary urgency dropped from 63 % pre-operatively to 17 % post-operatively. The patients' satisfaction with the procedure was high. A description of these modifications and results of procedures with these modifications are disclosed. Novel drill guides suture passers and suture tensioners for use in the surgical method are also disclosed. | ||||||
| 112 | SURGICAL IMPLANT SYSTEM AND METHOD | PCT/US2014030894 | 2014-03-17 | WO2014146023A2 | 2014-09-18 | GEROLD JASON R; PFAHNL ANDREAS C; ALLEN JOHN J |
| An implant and suture locking system is provided. The implant can include a lateral or distal anchor, and a medial or proximal anchor. One or more suture loops can extend between and operatively connect the anchors. A medial suture loop can extend through apertures in the medial anchor to provide efficient and easily adjustable tensioning and suture locking for the implant. | ||||||
| 113 | GLOSSOPEXY TENSION SYSTEM AND METHOD | PCT/US2007013926 | 2007-06-13 | WO2007146362A3 | 2008-03-20 | HIROTSUKA MARK; JACKSON JASPER; FRAZIER ANDREW; ROUE CHAD; VAN DER BURG ERIK; DINEEN MICHAEL |
| Methods and devices are disclosed for manipulating the tongue (9). An implant (500) is positioned within at least a portion of the tongue (9) and may be secured to other surrounding structures such as the mandible (13) and/or hyoid bone (15). In general, the implant (500) is manipulated to displace at least a portion of the posterior tongue (410) in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for adjusting a glossopexy system are also disclosed. Furthermore, methods and devices for tensioning a glossopexy system are disclosed. A tether (2135) can include a tether protection element (2130) configured to prevent overextension of the tether (2135). | ||||||
| 114 | ACTIVE SUTURE FOR THE DELIVERY OF THERAPEUTIC FLUIDS | PCT/US2004040488 | 2004-12-03 | WO2005055836A3 | 2005-10-13 | CICHOCKI FRANK R JR |
| An active suture that can be used for the delivery of therapeutic fluids to the tissue surrounding a wound, and optionally to close the wound, is disclosed. The invention enables delivery of an efficacious volume of drug bearing solution and provides a high level of fluid delivery rate control. | ||||||
| 115 | MULTI-USE LINKAGE DEVICE | PCT/US0325374 | 2003-08-14 | WO2004017281A3 | 2004-08-12 | SCHIEBLER MARK |
| A linkage device (10) that can be connected with other linkage devices and to itself, the linkage device comprising a strip (12) having a first end and a second end, a closure hub (14) attached to the first end of the strip (12) and having an opening to receive a second end and a locking mechanism within the closure hub (14), a connecting surface protruding (17) from the strip operable to secure the second end within a closure device, and a tampering detection device connected to the linkage device. | ||||||
| 116 | DEVICES AND METHODS FOR FASTENING TISSUE LAYERS | PCT/US0324794 | 2003-08-21 | WO2004019788A3 | 2004-07-01 | DEVRIES ROBERT B; SHAW WILLIAM J; DIMATTEO KRISTIAN; BUESS GERHARD F; KALANOVIC DANIEL; SCHURR MARC O; SULLIVAN ROY H; TASSY MARC JR; GRIEGO JOHN; GUTILEUS PATRICK; DICESARE PAUL |
| 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. | ||||||
| 117 | SNAGGING KNOTLESS SUTURE ANCHOR ASSEMBLY | PCT/US0019562 | 2000-08-02 | WO0110286A3 | 2001-07-05 | THAL RAYMOND |
| A snagging knotless suture anchor assembly for attachment of tissue to bone mass. The anchor assembly includes one or more suture elements (20) attached to the anchor (10). The one or more suture elements (20) are captured by a snag means or recess (14) located on the anchor means (10). Once the one or more suture elements (20) are captured, the anchor (10) is inserted securely into the bone mass which facilitates a repair of torn away soft tissue. | ||||||
| 118 | SYSTEMS FOR SECURING SUTURES, GRAFTS AND SOFT TISSUE TO BONE AND PERIOSTEUM | PCT/US9927690 | 1999-11-22 | WO0030556A9 | 2001-03-29 | BENDEREV THEODORE V; RYAN TIMOTHY CHARLES |
| Devices for affixing sutures, grafts and tissues to bone, and soft tissues such as periosteum. In a first embodiment, the invention comprises a piton member (62) implantable within bone having a post or eyelet (64) formed thereon to which the suture or tissue may be attached. The piton member is designed to become more firmly secured within the bone when pressure is applied to a first axis pushing the piton member into the bone, but may be easily removed when such force is applied in a generally opposed direction. In a second embodiment, the invention comprises affixation devices (70, 80, 90) that are designed to detachably ensnare with periosteum. Such devices are provided with attachment structures, such as one post, eyelet or other means for securing sutures, grafts, synthetic materials or tissue. | ||||||
| 119 | SYSTEMS FOR SECURING SUTURES, GRAFTS AND SOFT TISSUE TO BONE AND PERIOSTEUM | PCT/US9927690 | 1999-11-22 | WO0030556B1 | 2000-07-13 | BENDEREV THEODORE V; RYAN TIMOTHY CHARLES |
| Devices for affixing sutures, grafts and tissues to bone, and soft tissues such as periosteum. In a first embodiment, the invention comprises a piton member (62) implantable within bone having a post or eyelet (64) formed thereon to which the suture or tissue may be attached. The piton member is designed to become more firmly secured within the bone when pressure is applied to a first axis pushing the piton member into the bone, but may be easily removed when such force is applied in a generally opposed direction. In a second embodiment, the invention comprises affixation devices (70, 80, 90) that are designed to detachably ensnare with periosteum. Such devices are provided with attachment structures, such as one post, eyelet or other means for securing sutures, grafts, synthetic materials or tissue. | ||||||
| 120 | END EFFECTORS FOR WOUND CLOSURE DEVICES | PCT/US2016049457 | 2016-08-30 | WO2017040506A3 | 2017-05-11 | LINDH SR DAVID C; HUFF JASON; NAWROCKI JESSE G; PERKINS JASON T; SCOGNA ROBERT; SZABO DAVE; BEAKE THOMAS G; WISNIEWSKI JONATHAN |
| A suture device with a composite end effector, the composite end effector including a suture with an unmodified fixation element at a distal end and an overlying attachment piece disposed over the proximal end of the unmodified fixation element. The resulting composite end effector has improved strength and avoids the need for affixation methods such as welding or chemical affixation. | ||||||
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