US3871379A - Laparoscopy instruments and method for suturing and ligation - Google Patents

Laparoscopy instruments and method for suturing and ligation Download PDF

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US3871379A
US3871379A US378582A US37858273A US3871379A US 3871379 A US3871379 A US 3871379A US 378582 A US378582 A US 378582A US 37858273 A US37858273 A US 37858273A US 3871379 A US3871379 A US 3871379A
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suture
linkage
needle
trocar
forceps
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Henry C N Clarke
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474Knot pushers

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  • ABSTRACT An improved combinedlaparoscopic needle and forceps comprising an elongated parallelogram type of linkage suitable for insertion through a trocar and having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, handle means on said sec- 0nd end of said linkage for actuating said linkage to effect movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said needle linkage and being formed from a portion of said linkage and a portion of the holder of the needle.
  • An improved combined laparoscopic forceps, suture guide and cutter comprising an elongated parallelogram type of linkage which is sufficiently slender for passage through a trocar and having first and second ends, jaw means on said first end, and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture.
  • An improved laparoscopic ligator comprising an elongated'stem having first and second ends, a handle at said first end and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar.
  • An improved method of performing a surgical operation by laparoscopy comprising the steps of inserting at least first and second trocars through the body of a patient at spaced locations, inserting a first instrument comprising the above described combined lapar'oscopic needle and forceps through said first trocar, inserting a second instrument comprising the above described laparoscopic forceps, suture guide and cutter through said second trocar, manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to the central portion of a suture in position, withdrawing one of said instruments to bring the end of the suture outside of the patients body, tying a knot in the suture outside of the body, and bringing the knot into the desired position by means of said laparoscopic ligator.
  • the present invention relates to improved laparoscopy instruments for suturing and ligation and to an improved method of laparoscopy.
  • a related object of the present invention is to provide an improved series of instruments which increase the ability to suture and ligate inlaparoscopy.
  • a related object of the present invention is to provide a combined laparoscopic needle and forceps.
  • Another related object of the present invention is to provide a combined laparoscopic tissue forceps, suture guide and cutter.
  • a further related object of the present invention is to provide an improved laparoscopic ligator.
  • Another object of the present invention is to provide a new and improved surgical method of laparoscopy. Other objects and attendant advantages of the present invention will readily be perceived hereafter.
  • the improved combined laparoscopic needle and forceps of thepresent invention comprises an elongated linkage portion having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, means on said second end of said linkage for actuating said linkage to effect said movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said linkage.
  • the improved combined laparoscopic forceps, suture guide and cutter comprises an elongated linkage having first and second ends, jaw means mounted on said first end and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture.
  • the improved laparoscopic ligator of the present invention comprises an elongated stem having first and second ends, a handle at said first end, and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a sut-ure through a trocar.
  • the improved method of performing a surgical operation by laparoscopy comprises the steps of inserting at least first and second trocars through the body at spaced locations, inserting a first instrument through said first trocar, inserting a second instrument through said second trocar and manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to perform said operation.
  • FIG. I is a side elevational'view of a trocar of the type suitable for use in a laparoscopy
  • FIG. 2 is a fragmentary cross sectional view thereof taken substantially along line 2-2 of FIG. 1;
  • FIG. 3 is a side elevational view of a combined laparoscopic tissue forceps, suture guide, and suture cutter;
  • FIG. 4 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows 44 of FIG. 3;
  • FIG. 5 is a fragmentary longitudinal sectional view thereof taken substantially along line 55 of FIG. 4 and showing the suture guide and cutter associated with the jaws;
  • FIG. 6 is an enlarged fragmentary longitudinal sectional view of the .rear portion thereof taken substantially along line 6-6 of FIG. 9 and showing the linkage associated with the handles;
  • FIG. 7 is a cross sectional view thereof taken substantially along line 7-7 of FIG. 5 and showing the suture cutter structure
  • FIG. 8 is a cross sectional'view thereof taken substantially along line 8-8 of FIG. 5 and showing the jaw mounting linkage;
  • FIG. 8A is an enlarged cross sectional view thereof taken substantially along line 8A8A of FIG. 3 and showing details of the spring structure for biasing the links together;
  • FIG. 9 is a fragmentary cross sectional view thereof taken substantially along line 9-9 of FIG. 6 and showingthe linkage associated with the handles;
  • FIG. 10 is a side elevational view of a combined laparoscopic needle and forceps
  • FIG. 11 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows ll--1l of FIG. 10;
  • FIG. 12 is a fragmentary longitudinal sectional view thereof taken substantially along line l2l2 of FIG. 11 and showingthe linkage for moving the needle and the jaws;
  • FIG. 13 is a fragmentary view similar to FIG. 12 but showing the forcep jaws open;
  • FIG. 14 is a cross sectional view thereof taken substantially along line 14-14 of FIG. 12;
  • FIG. 15 is an enlarged fragmentary longitudinal sectional view thereof taken substantially along line -15 of FIG. 16 and showing the linkage associated with the handles;
  • FIG. 16 is a fragmentary cross sectional view thereof taken substantially along line 1616 of FIG. 15;
  • FIG. 17 is a side elevational view of a laparoscopic ligator with an open ended circular tip
  • FIG. 18 is a fragmentary enlarged view of the ligator of FIG. 17 with the handle portion of the ligator illustrated in section;
  • FIG. 19 is a fragmentary cross sectional view thereof taken substantially along line 19l9 of FIG. 18 and showing the tip of the ligator in greater detail;
  • FIG. is a fragmentary perspective view showing the first step of s surgical operation wherein a tissue tube is clamped by the forceps and the needle is brought into the clamped area;
  • FIG. 21 is a view showing the needle deflected around the tube with the forceps released from the tube and grasping the end of the suture;
  • FIG. 22 is a fragmentary perspective view showing the suture being held in the suture guide portion of the forceps with the forceps associated with the needle pulling the suture;
  • FIG. 23 is a fragmentary perspective view showing the ligator pushing the suture knot toward the tube.
  • FIG. 24 is a fragmentary perspective view showing the cutter portion of the forceps severing the suture after tying has been completed.
  • a third trocar is inserted through the naval for receiving an endoscope.
  • a tissue forceps is inserted through the first trocar to hold the tissue which is to be sutured-ligated.
  • the laparoscopic needle threaded with suture is introduced and brought into the area of the tissue forceps. Thereafter the instruments are manipulated as will be described hereafter after their structure has been described.
  • the trocars which are used are shown in FIGS. 1 and 2.
  • the trocar In assembled condition the trocar includes a stem 11 having a pointed end 12 at one end and a head 13 at the other end.
  • a sheath 14 is located on stem 11 and mounts an enlarged portion 15 which includes a diaphragm member 16 mounted thereon.
  • the assembled stem and sheath are inserted through the skin and thereafter stem 11 is withdrawn leaving sheath 14 in place.
  • the laparoscopic instruments are inserted through tube 14 and a seal is maintained with them-by means of diaphragm 16, to prevent the escape of gas which has been pumped into the abdominal cavity to separate the abdominal wall from body organs. This sealing is effected in themanner shown in FIG. 2 by having the circular diaphragm l6 engage the instrument.
  • FIGS. 3-9. The combined laparoscopic tissue forceps, suture guide and cutter 17 is shown in FIGS. 3-9. Basically, it includes a pair of elongated slender links 18 and 19 which lie in side-by-side relationship and are attached at one end to each other by means of cross link 20 which is pivotally mounted on pin 21 secured to the bifurcated end 22 of link 18, and is also pivotally mounted on pin 23 on bifurcated end 24 oflink 19.
  • the opposite ends of links 18 and 19 are secured to each other by cross link 25 which has the end thereof pivotally mounted on pin 26 attached to opposite side portions 26' of link 19 and an adjacent portion pivotally mounted on pin 27 mounted on bifurcated end 18 of line 18, as can be seen from FIGS. 6 and 9.
  • Link 25 is essentially an extension of handle 28 having finger receiving opening 29 therein.
  • handle 30 Located proximate handle 28 is handle 30 which is an extension of link 18 and has finger receiving opening 31 therein.
  • Links 18, 19, 20 and 25 essentially define a parallelogram type of linkage so that when handle portions 28 and 30 are spread apart from the position shown in FIG. 3 link 19 will move essentially in the direction olarrow 32 relative to link 18 which moves essentially in the direction of arrow 33 relative to link 19.
  • link 20 will pivot in a clockwise direction as viewed in FIG. 5 about pin 21 which in turn will cause jaw 34 which is formed integrally with link 20 to pivot in a clockwise direction about pin 21 to thereby move away from jaw 35 which is an extension of link 18 and formed integrally therewith.
  • jaws 34 and 35 when closed, can be inserted through trocar sheath 14 and links 18 and 19, in all positions thereof, can be moved relative to sheath 14, as is required during surgery.
  • a spring structure 19 biases links 18 and 19 together to maintain jaws 34 and 35 biased to a closed position.
  • Spring 19 includes a longitudinally extending strip 20' from which U-shaped portions 21', 22 and 23 extend, with portions 21 and 23' embracing link 19 and portion 22' embracing link 18.
  • a plastic sheath not shown, can be used to cover spring 19 so that it will not snag in the trocar.
  • jaws 34 and 35 have serrations 34' and 35' on their opposing surfaces to provide a good grip on either the tissue or the suture which is to be held.
  • jaws 34 and 35 have opposing grooves 36 and 37, respectively, in their opposing surfaces intermediate the ends of the serrated portions 34' and 35.
  • jaws 34 and 35 have shear blades 39 and 40, respectively, secured thereon to provide a suture cutting action as will also become more apparent hereafter. Because of the fact that the combinated laparoscopic forceps, suture guide and cutter performs a plurality of functions, it is not necessary to insert a plurality of individual instruments through'a particular trocar sheath because the same instruments can be maintained in position therein to perform a plurality of functions, as desired, thereby lessening the number of times that entry need be made through the trocar.
  • the combined laparoscopic needle and forceps 41 of the present invention includes a pair of elongated slender links 42 and 43 which are maintained in side-by-side relationship by cross links which provide a parallelogram type of linkage. More specifically, cross link 44 is pivotally connected to link 42 by pin 45, to link 43 by pin 46. Pin 45 is secured to the bifurcated end portion of link 42, and pin 46 is secured to opposite sides 47' of link 43. The lower end of link 44 lies within depression 47 in link 43. Needle holder portion 48, which supports needle 49 at its outer end, is formed integrally as an extension of link 44.
  • link 50 which is pivotally mounted on pin 51 carried by opposite side portions 51' oflink 42 and on pin 52 mounted on bifurcated end 52' of link 43.
  • Link 50 is an extension of and integral with handle 53 having finger-receiving opening 54 at the end thereof.
  • Handle 55 having finger-receiving opening 56 at the end thereof is integral with and an extension of link 43.
  • link 42 can be caused to move in the direction of arrow 57 (FIG. 13) relative to link 43 which moves in the direction of arrow 58 relative to link 42.
  • link 44 and needle holder 48 will pivot from the position shown in FIG. 12 to the position shown in FIG. 13.
  • a detent tab 59 is rigidly attached at portion 60 to handle 53, and handle 55 slides across tab 59 in frictional engagement therewith.
  • the needle holder 48 will remain in the position in which it was last placed until the handles are again manipulated.
  • needle 49 can move from a position shown in FIG. 12 to the position shown in FIG. 13, it can be moved essentially through a right angle after it is placed in position within the body, as will become more apparent hereafter. It will be appreciated that because of the slender nature of links 42 and 43, and further because needle 49 is in substantially longitudinal alignment therewith, the needle can be inserted through the trocar and thereafter be moved to any desired position therein, as required.
  • the laparoscopic ligator 63 of the present invention shown in FIGS. 17-19, includes an elongated stem 64 having an enlarged end 65 which is embedded. in handle 66.
  • the opposite end of ligator 63 is formed into a pair of curved integral arms 67 separated by slot 68.
  • the end of stem 64 between the arms is formed or recessed into complimentarilly grooved portions 69.
  • the suture is received in opening 70 for ligating, as will be described in greater detail hereafter.
  • the laparoscopy is performed by the above described instruments in the following manner. Firstly, as noted above, two sheathed trocars 14 are inserted approximately 4 centimeters above the lower third of the inguinal ligaments on each side of the patient, in the event the operation is for the purpose of tying off the Fallopian tubes. A third trocar is inserted through the naval for the purpose of receiving an endoscope. Through one lateral trocar sheath, the tissue forceps 17 is inserted and the tissue to be suture ligated, namely, the tube 71, is clamped and held between jaws 34 and 35. Through the other lateral trocar sheath the laparoscopic needle 41 is introduced.
  • This needle prior to insertion is threaded with suture 72 which is held on needle 49 by being wedged into a crotch formed between the needle proper and protuberance 73 thereon.
  • handles 53 and 55 are manipulated to move needle 49 from its in-line position to a lateral position where it extends transversely to links 42 and 43, this lateral position being illustrated in FIG. 21.
  • the tissue 74 is pierced to bring the suture 72 through the tissue.
  • handles 28 and 30 of the tissue forceps are manipulated so as to cause jaws 34 and 35 to release tube 71 and to grasp the end 75 of suture 72, as shown in FIG. 21, and disengage it from needle 49 which is then withdrawn from tissue 74.
  • the suture 72 is carried around tube 71 by forceps l7 and end 75 of suture 72 is clamped between the jaws 61 and 62 of laparoscopic forceps 41.
  • the opening 38 formed be tween the jaws of forceps 17 may be closed around suture 72, as shown in FIG. 22, to provide a guide for suture 72 to prevent suture-pull on delicate tissue as needle 49 is being withdrawn through trocar 14 to bring the free end 75 of suture 72 outside of the body.
  • the diaphragm 16 at the end of trocar 14 prevents the escape of gas from the inflated abdominal cavity and externally of this diaphragm free end 75 of the suture is tied with end 76 thereof to provide a first tie.
  • This tie is then introduced by ligator 63 through sheath 14 (FIG. 23), with the tie being held in groove of the ligator.
  • This tie is carried down to the central portion 77 of the suture to close off tube 71.
  • second and third ties may be formed at ends and 76 and brought down into position with ligator 63 in the same manner as just described.
  • a surgical knot has been found to be most convenient to provide the type of tie at 78 which is desired.
  • the shear blades 39 and 40 which are located on forceps 17 are used to cut the free ends of suture 72 to complete the tying operation.
  • each of the instruments 17 and 41 performs a plurality of functions, there is no necessity to keep reinserting different instruments through the trocars to effect the various functions which are required. Furthermore, because the links which form themain central body portions of the instruments are extremely slender and do not spread apart appreciably when the instruments are manipulated, they can be conveniently inserted and removed through the trocars and manipulated while therein as required.
  • a ligator comprising an elongated stem and suture guiding means at one end of said stem, said suture guiding means being of substantially the same cross sectional dimension as said stem and comprising a pair of spaced arms convexly outwardly curved about an axis extending transversely of said stem and converging toward each other at their tip ends remote from said stem and jointly with the end of said stem defining a generally circular opening for guiding a suture, said tip ends of said arms being spaced from each other to provide a suture entrance to said opening, and means for gently and firmly holding said suture comprising a blunt end on said stem opposite from said entrance, said end being convexly rounded to provide complimentarially grooved recessed portions at the bases of said arms on opposite sides of said stem between said arms.

Abstract

An improved combined laparoscopic needle and forceps comprising an elongated parallelogram type of linkage suitable for insertion through a trocar and having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, handle means on said second end of said linkage for actuating said linkage to effect movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said needle linkage and being formed from a portion of said linkage and a portion of the holder of the needle. An improved combined laparoscopic forceps, suture guide and cutter comprising an elongated parallelogram type of linkage which is sufficiently slender for passage through a trocar and having first and second ends, jaw means on said first end, and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture. An improved laparoscopic ligator comprising an elongated stem having first and second ends, a handle at said first end and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar. An improved method of performing a surgical operation by laparoscopy comprising the steps of inserting at least first and second trocars through the body of a patient at spaced locations, inserting a first instrument comprising the above described combined laparoscopic needle and forceps through said first trocar, inserting a second instrument comprising the above described laparoscopic forceps, suture guide and cutter through said second trocar, manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to the central portion of a suture in position, withdrawing one of said instruments to bring the end of the suture outside of the patient''s body, tying a knot in the suture outside of the body, and bringing the knot into the desired position by means of said laparoscopic ligator.

Description

United States Patent 1 1 Clarke [111 3,871,379 1 Mar. 18, 1975 LAPAROSCOPY INSTRUMENTS AND METHOD FOR SUTURING AND LIGATION [76] Inventor: Henry C. N. Clarke, 100 High St.,
Buffalo, NY. 14203 [22] Filed: July 12,1973
[21] Appl. No.: 378,582
Related U.S. Application Data [62] Division of Ser. No. 175,163, Aug. 26, 1971, Pat. No.
Primary E.\'aminerAldrich F. Medbery [57] ABSTRACT An improved combinedlaparoscopic needle and forceps comprising an elongated parallelogram type of linkage suitable for insertion through a trocar and having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, handle means on said sec- 0nd end of said linkage for actuating said linkage to effect movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said needle linkage and being formed from a portion of said linkage and a portion of the holder of the needle. An improved combined laparoscopic forceps, suture guide and cutter comprising an elongated parallelogram type of linkage which is sufficiently slender for passage through a trocar and having first and second ends, jaw means on said first end, and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture. An improved laparoscopic ligator comprising an elongated'stem having first and second ends, a handle at said first end and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar. An improved method of performing a surgical operation by laparoscopy comprising the steps of inserting at least first and second trocars through the body of a patient at spaced locations, inserting a first instrument comprising the above described combined lapar'oscopic needle and forceps through said first trocar, inserting a second instrument comprising the above described laparoscopic forceps, suture guide and cutter through said second trocar, manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to the central portion of a suture in position, withdrawing one of said instruments to bring the end of the suture outside of the patients body, tying a knot in the suture outside of the body, and bringing the knot into the desired position by means of said laparoscopic ligator.
1 Claim, 25 Drawing Figures PATENTEUHARI 8 ms sum 2 OF 3 1 mm mm vm mm v LAPAROSCOPY INSTRUMENTS AND METHOD FOR SUTURING AND LIGATION This is a division of application Ser. No. 175,163, filed Aug. 26, 1971, and now US. Pat. No. 3,763,860
The present invention relates to improved laparoscopy instruments for suturing and ligation and to an improved method of laparoscopy.
By way of background, recently there has been an increasing use of laparoscopy in pelvic surgery. The most common uses of laparoscopy are for diagnosis of pelvic disease and tubal electrocoagulation and cutting. Among the operations performed with a great degree of safety and less morbidity for the patient than by laparotomy are: biopsy and electrocoagulation; lysis of adhesions with electrocoagulation; fertility studies by intrauterine dye injection; ovarian follicle aspiration; biopsy of the ovary; extended post coital aspiration tests; tuboplasty by opening the fimbriated ends of closed tubes; cul-de-sac aspiration; ovarian cyst aspiration; electrocoagulation of bleeding points such as bleeding corpus luteum or bleeding secondary to instrumentation; electrocoagulation of endometriosis; electrocoagulation of tumor implants; biopsies in general; and excision of small tumors with electrocoagulation.
In certain of the foregoing procedures difficulty has been encountered when blood vessels are cut and hemostatis cannot be maintained by electrocoagulation. This bleeding has been an especially troublesome problem in tubal electrocoagulation and cutting. When bleeding difficulties have been encountered, laparotomy has become necessary because of the past inability to suture and ligate with laparoscopic procedures.
It is accordingly one important object of the present invention to provide an improved series of instruments which increase the ability to suture and ligate inlaparoscopy. A related object of the present invention is to provide a combined laparoscopic needle and forceps. Another related object of the present invention is to provide a combined laparoscopic tissue forceps, suture guide and cutter. A further related object of the present invention is to provide an improved laparoscopic ligator.
Another object of the present invention is to provide a new and improved surgical method of laparoscopy. Other objects and attendant advantages of the present invention will readily be perceived hereafter.
The improved combined laparoscopic needle and forceps of thepresent invention comprises an elongated linkage portion having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, means on said second end of said linkage for actuating said linkage to effect said movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said linkage.
The improved combined laparoscopic forceps, suture guide and cutter comprises an elongated linkage having first and second ends, jaw means mounted on said first end and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture.
The improved laparoscopic ligator of the present invention comprises an elongated stem having first and second ends, a handle at said first end, and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a sut-ure through a trocar.
The improved method of performing a surgical operation by laparoscopy, in its broadest aspect, comprises the steps of inserting at least first and second trocars through the body at spaced locations, inserting a first instrument through said first trocar, inserting a second instrument through said second trocar and manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to perform said operation.
The various aspects of the present invention will be more fully understood when the following portions of the specification are read in conjunction with the accompanying drawings wherein:
FIG. I is a side elevational'view of a trocar of the type suitable for use in a laparoscopy;
FIG. 2 is a fragmentary cross sectional view thereof taken substantially along line 2-2 of FIG. 1;
FIG. 3 is a side elevational view of a combined laparoscopic tissue forceps, suture guide, and suture cutter;
FIG. 4 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows 44 of FIG. 3;
FIG. 5 is a fragmentary longitudinal sectional view thereof taken substantially along line 55 of FIG. 4 and showing the suture guide and cutter associated with the jaws;
FIG. 6 is an enlarged fragmentary longitudinal sectional view of the .rear portion thereof taken substantially along line 6-6 of FIG. 9 and showing the linkage associated with the handles;
FIG. 7 is a cross sectional view thereof taken substantially along line 7-7 of FIG. 5 and showing the suture cutter structure;
FIG. 8 is a cross sectional'view thereof taken substantially along line 8-8 of FIG. 5 and showing the jaw mounting linkage;
FIG. 8A is an enlarged cross sectional view thereof taken substantially along line 8A8A of FIG. 3 and showing details of the spring structure for biasing the links together;
FIG. 9 is a fragmentary cross sectional view thereof taken substantially along line 9-9 of FIG. 6 and showingthe linkage associated with the handles;
FIG. 10 is a side elevational view of a combined laparoscopic needle and forceps;
FIG. 11 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows ll--1l of FIG. 10;
FIG. 12 is a fragmentary longitudinal sectional view thereof taken substantially along line l2l2 of FIG. 11 and showingthe linkage for moving the needle and the jaws;
FIG. 13 is a fragmentary view similar to FIG. 12 but showing the forcep jaws open;
FIG. 14 is a cross sectional view thereof taken substantially along line 14-14 of FIG. 12;
FIG. 15 is an enlarged fragmentary longitudinal sectional view thereof taken substantially along line -15 of FIG. 16 and showing the linkage associated with the handles;
FIG. 16 is a fragmentary cross sectional view thereof taken substantially along line 1616 of FIG. 15;
FIG. 17 is a side elevational view of a laparoscopic ligator with an open ended circular tip;
FIG. 18 is a fragmentary enlarged view of the ligator of FIG. 17 with the handle portion of the ligator illustrated in section;
FIG. 19 is a fragmentary cross sectional view thereof taken substantially along line 19l9 of FIG. 18 and showing the tip of the ligator in greater detail;
FIG. is a fragmentary perspective view showing the first step of s surgical operation wherein a tissue tube is clamped by the forceps and the needle is brought into the clamped area;
FIG. 21 is a view showing the needle deflected around the tube with the forceps released from the tube and grasping the end of the suture;
FIG. 22 is a fragmentary perspective view showing the suture being held in the suture guide portion of the forceps with the forceps associated with the needle pulling the suture;
FIG. 23 is a fragmentary perspective view showing the ligator pushing the suture knot toward the tube; and
FIG. 24 is a fragmentary perspective view showing the cutter portion of the forceps severing the suture after tying has been completed.
By way of introduction, the laparoscopy which is performed with the instruments of the present invention consists of the steps of inserting first and second sheathed trocars approximately 4 centimeters above the lower third of the inguinal ligament on each side of the patient. A third trocar is inserted through the naval for receiving an endoscope. A tissue forceps is inserted through the first trocar to hold the tissue which is to be sutured-ligated. Through the second trocar, the laparoscopic needle threaded with suture is introduced and brought into the area of the tissue forceps. Thereafter the instruments are manipulated as will be described hereafter after their structure has been described.
The trocars which are used are shown in FIGS. 1 and 2. In assembled condition the trocar includes a stem 11 having a pointed end 12 at one end and a head 13 at the other end. A sheath 14 is located on stem 11 and mounts an enlarged portion 15 which includes a diaphragm member 16 mounted thereon. As is well understood by those skilled in the art, the assembled stem and sheath are inserted through the skin and thereafter stem 11 is withdrawn leaving sheath 14 in place. The laparoscopic instruments are inserted through tube 14 and a seal is maintained with them-by means of diaphragm 16, to prevent the escape of gas which has been pumped into the abdominal cavity to separate the abdominal wall from body organs. This sealing is effected in themanner shown in FIG. 2 by having the circular diaphragm l6 engage the instrument.
The combined laparoscopic tissue forceps, suture guide and cutter 17 is shown in FIGS. 3-9. Basically, it includes a pair of elongated slender links 18 and 19 which lie in side-by-side relationship and are attached at one end to each other by means of cross link 20 which is pivotally mounted on pin 21 secured to the bifurcated end 22 of link 18, and is also pivotally mounted on pin 23 on bifurcated end 24 oflink 19. The opposite ends of links 18 and 19 are secured to each other by cross link 25 which has the end thereof pivotally mounted on pin 26 attached to opposite side portions 26' of link 19 and an adjacent portion pivotally mounted on pin 27 mounted on bifurcated end 18 of line 18, as can be seen from FIGS. 6 and 9. Link 25 is essentially an extension of handle 28 having finger receiving opening 29 therein. Located proximate handle 28 is handle 30 which is an extension of link 18 and has finger receiving opening 31 therein.
Links 18, 19, 20 and 25 essentially define a parallelogram type of linkage so that when handle portions 28 and 30 are spread apart from the position shown in FIG. 3 link 19 will move essentially in the direction olarrow 32 relative to link 18 which moves essentially in the direction of arrow 33 relative to link 19. The foregoing action will cause link 20 to pivot in a clockwise direction as viewed in FIG. 5 about pin 21 which in turn will cause jaw 34 which is formed integrally with link 20 to pivot in a clockwise direction about pin 21 to thereby move away from jaw 35 which is an extension of link 18 and formed integrally therewith. It will be appreciated that jaws 34 and 35, when closed, can be inserted through trocar sheath 14 and links 18 and 19, in all positions thereof, can be moved relative to sheath 14, as is required during surgery. A spring structure 19 (FIGS. 3 and 8A) biases links 18 and 19 together to maintain jaws 34 and 35 biased to a closed position. Spring 19 includes a longitudinally extending strip 20' from which U-shaped portions 21', 22 and 23 extend, with portions 21 and 23' embracing link 19 and portion 22' embracing link 18. A plastic sheath, not shown, can be used to cover spring 19 so that it will not snag in the trocar.
The combined laparoscopic tissue forceps, suture guide and cutter l7 performs a plurality of functions. First of all, jaws 34 and 35 have serrations 34' and 35' on their opposing surfaces to provide a good grip on either the tissue or the suture which is to be held. In addition jaws 34 and 35 have opposing grooves 36 and 37, respectively, in their opposing surfaces intermediate the ends of the serrated portions 34' and 35. When the jaws are closed grooves 36 and 37 provide an opening or hole 38 having a continuous periphery. As will become more apparent hereafter, a suture can be received in opening 38 and guided therethrough during a suturing operation. In addition, jaws 34 and 35 have shear blades 39 and 40, respectively, secured thereon to provide a suture cutting action as will also become more apparent hereafter. Because of the fact that the combinated laparoscopic forceps, suture guide and cutter performs a plurality of functions, it is not necessary to insert a plurality of individual instruments through'a particular trocar sheath because the same instruments can be maintained in position therein to perform a plurality of functions, as desired, thereby lessening the number of times that entry need be made through the trocar.
The combined laparoscopic needle and forceps 41 of the present invention, shown in FIGS. 10-16, includes a pair of elongated slender links 42 and 43 which are maintained in side-by-side relationship by cross links which provide a parallelogram type of linkage. More specifically, cross link 44 is pivotally connected to link 42 by pin 45, to link 43 by pin 46. Pin 45 is secured to the bifurcated end portion of link 42, and pin 46 is secured to opposite sides 47' of link 43. The lower end of link 44 lies within depression 47 in link 43. Needle holder portion 48, which supports needle 49 at its outer end, is formed integrally as an extension of link 44. The ends of links 42 and 43 which are remote from needle 49 are fastened together by link 50 which is pivotally mounted on pin 51 carried by opposite side portions 51' oflink 42 and on pin 52 mounted on bifurcated end 52' of link 43. Link 50 is an extension of and integral with handle 53 having finger-receiving opening 54 at the end thereof. Handle 55 having finger-receiving opening 56 at the end thereof is integral with and an extension of link 43.
By suitable manipulation of handles 53 and 55 link 42 can be caused to move in the direction of arrow 57 (FIG. 13) relative to link 43 which moves in the direction of arrow 58 relative to link 42. This will cause link 44 and needle holder 48 to pivot from the position shown in FIG. 12 to the position shown in FIG. 13. A detent tab 59 is rigidly attached at portion 60 to handle 53, and handle 55 slides across tab 59 in frictional engagement therewith. Thus when handles 53 and 55 are released, the needle holder 48 will remain in the position in which it was last placed until the handles are again manipulated. Because needle 49 can move from a position shown in FIG. 12 to the position shown in FIG. 13, it can be moved essentially through a right angle after it is placed in position within the body, as will become more apparent hereafter. It will be appreciated that because of the slender nature of links 42 and 43, and further because needle 49 is in substantially longitudinal alignment therewith, the needle can be inserted through the trocar and thereafter be moved to any desired position therein, as required.
It is also to be noted that a pair of opposing jaws 61 and 62 are provided. law 61 is located on one side of needle holder 48 and jaw 62-is located at the end oflink 43 (FIG. 13). It can thus be seen that the combined laparoscopic needle and forceps can be used to provide both a sewing action and a clamping action as required to obviate the necessity of using two separate instruments, thereby lessening the number of times that entry and withdrawal of instruments need be made through the trocar.
The laparoscopic ligator 63 of the present invention, shown in FIGS. 17-19, includes an elongated stem 64 having an enlarged end 65 which is embedded. in handle 66. The opposite end of ligator 63 is formed into a pair of curved integral arms 67 separated by slot 68. The end of stem 64 between the arms is formed or recessed into complimentarilly grooved portions 69. The suture is received in opening 70 for ligating, as will be described in greater detail hereafter.
The laparoscopy is performed by the above described instruments in the following manner. Firstly, as noted above, two sheathed trocars 14 are inserted approximately 4 centimeters above the lower third of the inguinal ligaments on each side of the patient, in the event the operation is for the purpose of tying off the Fallopian tubes. A third trocar is inserted through the naval for the purpose of receiving an endoscope. Through one lateral trocar sheath, the tissue forceps 17 is inserted and the tissue to be suture ligated, namely, the tube 71, is clamped and held between jaws 34 and 35. Through the other lateral trocar sheath the laparoscopic needle 41 is introduced. This needle prior to insertion is threaded with suture 72 which is held on needle 49 by being wedged into a crotch formed between the needle proper and protuberance 73 thereon. After the needle is brought to the proper position, such as shown in FIG. 21, and while the tube is still clamped as shown in FIG. 20, handles 53 and 55 are manipulated to move needle 49 from its in-line position to a lateral position where it extends transversely to links 42 and 43, this lateral position being illustrated in FIG. 21. After the needle has been so flexed, the tissue 74 is pierced to bring the suture 72 through the tissue. Thereafter handles 28 and 30 of the tissue forceps are manipulated so as to cause jaws 34 and 35 to release tube 71 and to grasp the end 75 of suture 72, as shown in FIG. 21, and disengage it from needle 49 which is then withdrawn from tissue 74. Next, the suture 72 is carried around tube 71 by forceps l7 and end 75 of suture 72 is clamped between the jaws 61 and 62 of laparoscopic forceps 41. The opening 38 formed be tween the jaws of forceps 17 may be closed around suture 72, as shown in FIG. 22, to provide a guide for suture 72 to prevent suture-pull on delicate tissue as needle 49 is being withdrawn through trocar 14 to bring the free end 75 of suture 72 outside of the body. The diaphragm 16 at the end of trocar 14 prevents the escape of gas from the inflated abdominal cavity and externally of this diaphragm free end 75 of the suture is tied with end 76 thereof to provide a first tie. This tie is then introduced by ligator 63 through sheath 14 (FIG. 23), with the tie being held in groove of the ligator. This tie is carried down to the central portion 77 of the suture to close off tube 71. Thereafter second and third ties may be formed at ends and 76 and brought down into position with ligator 63 in the same manner as just described. A surgical knot has been found to be most convenient to provide the type of tie at 78 which is desired. Thereafter the shear blades 39 and 40 which are located on forceps 17 are used to cut the free ends of suture 72 to complete the tying operation.
It will be appreciated that because each of the instruments 17 and 41 performs a plurality of functions, there is no necessity to keep reinserting different instruments through the trocars to effect the various functions which are required. Furthermore, because the links which form themain central body portions of the instruments are extremely slender and do not spread apart appreciably when the instruments are manipulated, they can be conveniently inserted and removed through the trocars and manipulated while therein as required.
What is claimed is:
1. A ligator comprising an elongated stem and suture guiding means at one end of said stem, said suture guiding means being of substantially the same cross sectional dimension as said stem and comprising a pair of spaced arms convexly outwardly curved about an axis extending transversely of said stem and converging toward each other at their tip ends remote from said stem and jointly with the end of said stem defining a generally circular opening for guiding a suture, said tip ends of said arms being spaced from each other to provide a suture entrance to said opening, and means for gently and firmly holding said suture comprising a blunt end on said stem opposite from said entrance, said end being convexly rounded to provide complimentarially grooved recessed portions at the bases of said arms on opposite sides of said stem between said arms.

Claims (1)

1. A ligator comprising an elongated stem and suture guiding means at one end of said stem, said suture guiding means being of substantially the same cross sectional dimension as said stem and comprising a pair of spaced arms convexly outwardly curved about an axis extending transversely of said stem and converging toward each other at their tip ends remote from said stem and jointly with the end of said stem defining a generally circular opening for guiding a suture, said tip ends of said arms being spaced from each other to provide a suture entrance to said opening, and means for gently and firmly holding said suture comprising a blunt end on said stem opposite from said entrance, said end being convexly rounded to provide complimentarially grooved recessed portions at the bases of said arms on opposite sides of said stem between said arms.
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Cited By (174)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4299224A (en) * 1979-06-06 1981-11-10 United States Surgical Corporation Disposable clip applier
FR2501495A1 (en) * 1981-03-16 1982-09-17 Inst Nat Sante Rech Med Micro:surgery instrument for holding needle and suture - has one fixed and one movable jaw with pneumatic piston unit for moving them w.r.t. one another
US5015250A (en) * 1990-01-12 1991-05-14 Vance Products Incorporated Medical instrument for driving a suture needle
US5129912A (en) * 1991-01-07 1992-07-14 Laparomed Corporation Device and method for applying suture
US5201744A (en) * 1991-12-05 1993-04-13 Jones Mark W Method and device for suturing using a rod with a needle holder
US5211650A (en) * 1991-01-07 1993-05-18 Laparomed Corporation Dual function suturing device and method
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5234443A (en) * 1991-07-26 1993-08-10 The Regents Of The University Of California Endoscopic knot tying apparatus and methods
US5234444A (en) * 1991-12-06 1993-08-10 Cyprus Endosurgical Tools, Inc. Christoudias knot--transfer method and instrument
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
US5257637A (en) * 1991-03-22 1993-11-02 El Gazayerli Mohamed M Method for suture knot placement and tying
US5289963A (en) * 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5318579A (en) * 1992-09-21 1994-06-07 Chow James C Y Arthroscopic knot tying device
US5320629A (en) * 1991-01-07 1994-06-14 Laparomed Corporation Device and method for applying suture
US5327908A (en) * 1993-01-08 1994-07-12 United States Surgical Corporation Surgical apparatus for measuring body tissue
US5330488A (en) * 1993-03-23 1994-07-19 Goldrath Milton H Verres needle suturing kit
US5334199A (en) * 1992-08-17 1994-08-02 Inbae Yoon Ligating instrument and methods of ligating tissue in endoscopic operative procedures
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5356064A (en) * 1991-10-18 1994-10-18 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
EP0624343A2 (en) * 1993-04-15 1994-11-17 William K. Mangum Knot pusher for videoendoscopic surgery
US5368596A (en) * 1992-03-18 1994-11-29 Burkhart; Stephen S. Augmented awl for creating channels in human bone tissue
US5368601A (en) * 1992-04-30 1994-11-29 Lasersurge, Inc. Trocar wound closure device
US5376096A (en) * 1993-12-17 1994-12-27 Vance Products Inc. Medical instrument for driving a suture needle
US5383877A (en) * 1991-05-01 1995-01-24 Clarke; Henry C. Instruments and method for suturing and ligation
US5387221A (en) * 1991-01-17 1995-02-07 Bisgaard; Therkel Set of tools for suturing in deep surgical apertures or body cavities
US5387227A (en) * 1992-09-10 1995-02-07 Grice; O. Drew Method for use of a laparo-suture needle
US5391175A (en) * 1991-11-29 1995-02-21 Sharpe Endosurgical Corporation Method of using an endoknot pusher surgical instrument
US5392978A (en) * 1991-02-08 1995-02-28 United States Surgical Corporation Surgical staple and endoscopic stapler
US5403329A (en) * 1992-09-23 1995-04-04 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
EP0649631A2 (en) * 1993-10-22 1995-04-26 Ethicon, Inc. Device for tying intracorporeal knot
US5411520A (en) * 1991-11-08 1995-05-02 Kensey Nash Corporation Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use
US5437682A (en) * 1993-07-20 1995-08-01 Ideas For Medicine, Inc. Medical knot tying instrument and method for use thereof
US5462562A (en) * 1993-05-17 1995-10-31 Henry Ford Hospital Suture passer and method of using
US5462561A (en) * 1993-08-05 1995-10-31 Voda; Jan K. Suture device
US5470338A (en) * 1993-10-08 1995-11-28 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5474568A (en) * 1993-10-08 1995-12-12 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5478347A (en) * 1990-10-05 1995-12-26 United States Surgical Corporation Endoscopic surgical instrument having curved blades
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
US5497933A (en) * 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5501691A (en) * 1993-03-23 1996-03-26 Goldrath; Milton H. Verres needle suturing device
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5520703A (en) * 1993-06-07 1996-05-28 Essig; Mitchell N. Laparoscopic deschamp and associated suturing technique
US5522830A (en) * 1990-10-05 1996-06-04 United States Surgical Corporation Endoscopic surgical instrument
US5527321A (en) * 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5536273A (en) * 1993-12-09 1996-07-16 Lehrer; Theodor Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures
US5564615A (en) * 1992-10-09 1996-10-15 Ethicon, Inc. Surgical instrument
US5609597A (en) * 1993-12-09 1997-03-11 Lehrer; Theodor Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures
US5626587A (en) * 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5649939A (en) * 1992-12-08 1997-07-22 Reddick; Eddie J. Laparoscopic suture introducer
US5662662A (en) * 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5662663A (en) * 1992-04-22 1997-09-02 United States Surgical Corporation Surgical suture instrument
US5665100A (en) * 1989-12-05 1997-09-09 Yoon; Inbae Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
US5665096A (en) * 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
US5693061A (en) * 1996-02-23 1997-12-02 Pierce; Javin C. Knot puller instrument for use with surgical suture in tying surgical knots
US5693059A (en) * 1995-09-15 1997-12-02 Yoon; Inbae Ligating instrument with multiple loop ligature supply and methods therefor
US5704943A (en) * 1995-09-25 1998-01-06 Yoon; Inbae Ligating instrument with multiple loop ligature supply and methods therefor
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5769863A (en) * 1994-08-10 1998-06-23 Heartport, Inc. Surgical knot pusher and method of use
US5797939A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic scissors with longitudinal operating channel
US5797958A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic grasping instrument with scissors
US5908429A (en) * 1997-05-01 1999-06-01 Yoon; Inbae Methods of anatomical tissue ligation
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5947982A (en) * 1997-04-02 1999-09-07 Smith & Nephew, Inc. Suture-passing forceps
US5957936A (en) * 1997-05-01 1999-09-28 Inbae Yoon Instrument assemblies for performing anatomical tissue ligation
US5984939A (en) * 1989-12-05 1999-11-16 Yoon; Inbae Multifunctional grasping instrument with cutting member and operating channel for use in endoscopic and non-endoscopic procedures
US6051006A (en) * 1999-04-12 2000-04-18 Smith & Nephew, Inc. Suture-passing forceps
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US6443963B1 (en) 2000-07-26 2002-09-03 Orthopaedic Biosystems, Ltd. Apparatus and method for repairing or reattaching soft tissue
US6511488B1 (en) 1998-06-23 2003-01-28 Orthopaedic Biosystems Ltd., Inc. Surgical knot manipulator
US20030130694A1 (en) * 1999-12-02 2003-07-10 Ray Bojarski Soft tissue attachment and repair
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US20030220658A1 (en) * 2002-05-22 2003-11-27 Hatch Laird L. Suture passing surgical instrument
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US6740099B1 (en) * 2000-10-20 2004-05-25 Mark Doyle Surgical tool for trimming wire strands
US20040104101A1 (en) * 2002-11-27 2004-06-03 Siemens Aktiengesellschaft Transport system for articles, in particular containers for baggage pieces, and control method for the transport system
US20040153074A1 (en) * 2003-02-05 2004-08-05 Bojarski Raymond A. Tissue anchor and insertion tool
US20040153103A1 (en) * 1998-12-30 2004-08-05 Schwartz Herbert E. Soft tissue locking device
US20040260370A1 (en) * 2003-06-20 2004-12-23 Ley Gregory R. System for medical lead tunneling
US20050101991A1 (en) * 2003-11-12 2005-05-12 Applied Medical Resources Corporation Overmolded grasper jaw
US20050101883A1 (en) * 2003-11-12 2005-05-12 Santos Perry M. Apparatus and method for measuring a nerve diameter
US20050121042A1 (en) * 2003-12-03 2005-06-09 Belhe Kedar R. Suture based vascular closure apparatus and method incorporating a pre-tied knot
US20050149187A1 (en) * 2000-08-28 2005-07-07 Ron Clark Method and implant for securing ligament replacement into the knee
US20050197662A1 (en) * 2000-08-28 2005-09-08 Ron Clark Method and implant for securing ligament replacement into the knee
US20050273003A1 (en) * 2003-10-15 2005-12-08 Arthrotek, Inc. Method and apparatus for graft fixation
US20050283192A1 (en) * 1999-12-02 2005-12-22 Torrie Paul A Closure device and method for tissue repair
US7033364B1 (en) 2002-01-31 2006-04-25 Arthrotek, Inc. Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US20060173465A1 (en) * 2002-01-31 2006-08-03 Arthrotek, Inc. Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US20060189993A1 (en) * 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
US20060247642A1 (en) * 2004-11-09 2006-11-02 Stone Kevin T Tissue fixation device
US20060293709A1 (en) * 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US20070083236A1 (en) * 2005-06-24 2007-04-12 Smith & Nephew, Inc. Methods and devices for tissue repair
US20070156172A1 (en) * 2006-01-03 2007-07-05 Alfredo Alvarado Multipurpose knot pusher
US20070162054A1 (en) * 2003-10-28 2007-07-12 Nihon University Suture thread shifting device
US20070185532A1 (en) * 2006-02-03 2007-08-09 Arthrotek, Inc. Soft tissue repair assembly and associated method
US7270672B1 (en) 2005-02-11 2007-09-18 Adam Joel Singer Rod for transferring and tightening knotted suture into patient's body
US7341592B1 (en) 2003-10-15 2008-03-11 Biomet Sports Medicine, Inc. Method and apparatus for graft fixation
US20080125795A1 (en) * 1999-05-20 2008-05-29 Aaron V. Kaplan Methods and apparatus for transpericardial left atrial appendage closure
US20080228271A1 (en) * 2007-03-13 2008-09-18 Biomet Sports Medicine, Inc. Method and apparatus for graft fixation
US20080294175A1 (en) * 2007-05-21 2008-11-27 Epitek, Inc. Left atrial appendage closure
US20080312664A1 (en) * 2007-05-21 2008-12-18 Epitek, Inc. Left atrial appendage closure
US7608098B1 (en) 2004-11-09 2009-10-27 Biomet Sports Medicine, Llc Bone fixation device
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7794471B1 (en) 2003-06-26 2010-09-14 Cardica, Inc. Compliant anastomosis system
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7883518B1 (en) 2005-01-07 2011-02-08 Cardica, Inc. Surgical knot
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8002778B1 (en) 2004-06-28 2011-08-23 Biomet Sports Medicine, Llc Crosspin and method for inserting the same during soft ligament repair
DE102010023420A1 (en) 2010-06-11 2011-12-15 Olympus Winter & Ibe Gmbh Surgical instrument with end effector
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8123762B2 (en) 2004-08-19 2012-02-28 Boston Scientific Scimed, Inc. Suturing instrument
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8382835B2 (en) 2002-01-31 2013-02-26 Biomet Sports Medicine, Llc Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8574246B1 (en) 2004-06-25 2013-11-05 Cardica, Inc. Compliant anastomosis system utilizing suture
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
WO2016111683A1 (en) * 2015-01-07 2016-07-14 Smith & Nephew, Inc. Surgical device and method of use thereof
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US354029A (en) * 1886-12-07 James tbullingeb
US2517806A (en) * 1947-03-10 1950-08-08 Sylvester B Streiler Combination toothbrush handle and dental floss holder
US2566625A (en) * 1950-08-24 1951-09-04 Clemens B Nagelmann Ligating instrument
US2595086A (en) * 1948-11-30 1952-04-29 Henry B Larzelere Surgical instrument
US3393687A (en) * 1966-09-16 1968-07-23 Homer O. Whitman Dental floss applicator
US3631869A (en) * 1969-09-22 1972-01-04 Rene J Espinosa Dental floss holder

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US354029A (en) * 1886-12-07 James tbullingeb
US2517806A (en) * 1947-03-10 1950-08-08 Sylvester B Streiler Combination toothbrush handle and dental floss holder
US2595086A (en) * 1948-11-30 1952-04-29 Henry B Larzelere Surgical instrument
US2566625A (en) * 1950-08-24 1951-09-04 Clemens B Nagelmann Ligating instrument
US3393687A (en) * 1966-09-16 1968-07-23 Homer O. Whitman Dental floss applicator
US3631869A (en) * 1969-09-22 1972-01-04 Rene J Espinosa Dental floss holder

Cited By (366)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4299224A (en) * 1979-06-06 1981-11-10 United States Surgical Corporation Disposable clip applier
FR2501495A1 (en) * 1981-03-16 1982-09-17 Inst Nat Sante Rech Med Micro:surgery instrument for holding needle and suture - has one fixed and one movable jaw with pneumatic piston unit for moving them w.r.t. one another
US5665100A (en) * 1989-12-05 1997-09-09 Yoon; Inbae Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
US5984939A (en) * 1989-12-05 1999-11-16 Yoon; Inbae Multifunctional grasping instrument with cutting member and operating channel for use in endoscopic and non-endoscopic procedures
US5797958A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic grasping instrument with scissors
US5797939A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic scissors with longitudinal operating channel
US5015250A (en) * 1990-01-12 1991-05-14 Vance Products Incorporated Medical instrument for driving a suture needle
US5478347A (en) * 1990-10-05 1995-12-26 United States Surgical Corporation Endoscopic surgical instrument having curved blades
US5522830A (en) * 1990-10-05 1996-06-04 United States Surgical Corporation Endoscopic surgical instrument
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
EP0566654A1 (en) * 1991-01-07 1993-10-27 Laparomed Corporation Device and method for applying suture
US5211650A (en) * 1991-01-07 1993-05-18 Laparomed Corporation Dual function suturing device and method
EP0566654A4 (en) * 1991-01-07 1994-07-27 Laparomed Corp Device and method for applying suture
US5320629A (en) * 1991-01-07 1994-06-14 Laparomed Corporation Device and method for applying suture
US5129912A (en) * 1991-01-07 1992-07-14 Laparomed Corporation Device and method for applying suture
US5387221A (en) * 1991-01-17 1995-02-07 Bisgaard; Therkel Set of tools for suturing in deep surgical apertures or body cavities
US5392978A (en) * 1991-02-08 1995-02-28 United States Surgical Corporation Surgical staple and endoscopic stapler
US5257637A (en) * 1991-03-22 1993-11-02 El Gazayerli Mohamed M Method for suture knot placement and tying
US5383877A (en) * 1991-05-01 1995-01-24 Clarke; Henry C. Instruments and method for suturing and ligation
US5234443A (en) * 1991-07-26 1993-08-10 The Regents Of The University Of California Endoscopic knot tying apparatus and methods
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US7681772B2 (en) 1991-10-18 2010-03-23 Green David T Apparatus for applying surgical fasteners to body tissue
US20090105535A1 (en) * 1991-10-18 2009-04-23 Green David T Apparatus for applying surgical fasteners to body tissue
US20090308908A1 (en) * 1991-10-18 2009-12-17 United States Surgical Corporation Apparatus for applying surgical fasteners to body tissue
US7828187B2 (en) 1991-10-18 2010-11-09 Tyco Healthcare Group Lp Apparatus for applying surgical fasteners to body tissue
US20020117534A1 (en) * 1991-10-18 2002-08-29 Green David T. Apparatus and method for applying surgical staples to attach an object to body tissue
US7624903B2 (en) 1991-10-18 2009-12-01 Green David T Apparatus for applying surgical fastners to body tissue
US7866526B2 (en) 1991-10-18 2011-01-11 Tyco Healthcare Group Lp Apparatus for applying surgical fasteners to body tissue
US5497933A (en) * 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5364002A (en) * 1991-10-18 1994-11-15 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US20040173659A1 (en) * 1991-10-18 2004-09-09 Green David T. Apparatus and method for applying surgical staples to attach an object to body tissue
US5817109A (en) * 1991-10-18 1998-10-06 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5289963A (en) * 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US20090314820A1 (en) * 1991-10-18 2009-12-24 United States Surgical Corporation Apparatus for applying surgical fasteners to body tissue
US5356064A (en) * 1991-10-18 1994-10-18 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5411520A (en) * 1991-11-08 1995-05-02 Kensey Nash Corporation Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use
US5242456A (en) * 1991-11-21 1993-09-07 Kensey Nash Corporation Apparatus and methods for clamping tissue and reflecting the same
US5391175A (en) * 1991-11-29 1995-02-21 Sharpe Endosurgical Corporation Method of using an endoknot pusher surgical instrument
US5201744A (en) * 1991-12-05 1993-04-13 Jones Mark W Method and device for suturing using a rod with a needle holder
US5234444A (en) * 1991-12-06 1993-08-10 Cyprus Endosurgical Tools, Inc. Christoudias knot--transfer method and instrument
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5368596A (en) * 1992-03-18 1994-11-29 Burkhart; Stephen S. Augmented awl for creating channels in human bone tissue
US5662663A (en) * 1992-04-22 1997-09-02 United States Surgical Corporation Surgical suture instrument
US5507757A (en) * 1992-04-30 1996-04-16 Lasersurge, Inc. Method of closing puncture wounds
US5368601A (en) * 1992-04-30 1994-11-29 Lasersurge, Inc. Trocar wound closure device
US5626588A (en) * 1992-04-30 1997-05-06 Lasersurge, Inc. Trocar wound closure device
US5571120A (en) * 1992-08-17 1996-11-05 Yoon; Inbae Ligating instrument and methods of ligating tissue in endoscopic operative procedures
US5486186A (en) * 1992-08-17 1996-01-23 Yoon; Inbae Ligating instrument and methods of ligating tissue in endoscopic operative procedures
US5334199A (en) * 1992-08-17 1994-08-02 Inbae Yoon Ligating instrument and methods of ligating tissue in endoscopic operative procedures
US5387227A (en) * 1992-09-10 1995-02-07 Grice; O. Drew Method for use of a laparo-suture needle
US5318579A (en) * 1992-09-21 1994-06-07 Chow James C Y Arthroscopic knot tying device
US5403329A (en) * 1992-09-23 1995-04-04 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5337736A (en) * 1992-09-30 1994-08-16 Reddy Pratap K Method of using a laparoscopic retractor
US5662662A (en) * 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5626587A (en) * 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5577654A (en) * 1992-10-09 1996-11-26 Ethicon Endo-Surgery, Inc. Surgical instrument
US5634584A (en) * 1992-10-09 1997-06-03 Ethicon Endo-Surgery, Inc. Surgical instrument
US5588581A (en) * 1992-10-09 1996-12-31 Ethicon Endo-Surgery, Inc. Surgical instrument
US5588580A (en) * 1992-10-09 1996-12-31 Ethicon Endo-Surgery, Inc. Surgical instrument
US5564615A (en) * 1992-10-09 1996-10-15 Ethicon, Inc. Surgical instrument
US5601224A (en) * 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5649939A (en) * 1992-12-08 1997-07-22 Reddick; Eddie J. Laparoscopic suture introducer
US5327908A (en) * 1993-01-08 1994-07-12 United States Surgical Corporation Surgical apparatus for measuring body tissue
US5501691A (en) * 1993-03-23 1996-03-26 Goldrath; Milton H. Verres needle suturing device
US5330488A (en) * 1993-03-23 1994-07-19 Goldrath Milton H Verres needle suturing kit
EP0624343A3 (en) * 1993-04-15 1995-09-06 William K Mangum Knot pusher for videoendoscopic surgery.
EP0624343A2 (en) * 1993-04-15 1994-11-17 William K. Mangum Knot pusher for videoendoscopic surgery
US5462562A (en) * 1993-05-17 1995-10-31 Henry Ford Hospital Suture passer and method of using
US5520703A (en) * 1993-06-07 1996-05-28 Essig; Mitchell N. Laparoscopic deschamp and associated suturing technique
US5586986A (en) * 1993-07-14 1996-12-24 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5527321A (en) * 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5437682A (en) * 1993-07-20 1995-08-01 Ideas For Medicine, Inc. Medical knot tying instrument and method for use thereof
US5462561A (en) * 1993-08-05 1995-10-31 Voda; Jan K. Suture device
US5405354A (en) * 1993-08-06 1995-04-11 Vance Products Inc. Suture driver
US5470338A (en) * 1993-10-08 1995-11-28 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5474568A (en) * 1993-10-08 1995-12-12 United States Surgical Corporation Instrument for closing trocar puncture wounds
EP0649631A3 (en) * 1993-10-22 1995-12-06 Ethicon Inc Device for tying intracorporeal knot.
EP0649631A2 (en) * 1993-10-22 1995-04-26 Ethicon, Inc. Device for tying intracorporeal knot
US5536273A (en) * 1993-12-09 1996-07-16 Lehrer; Theodor Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures
US5609597A (en) * 1993-12-09 1997-03-11 Lehrer; Theodor Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures
US5591177A (en) * 1993-12-09 1997-01-07 Lehrer; Theodor Apparatus and method of extracorporeally applying and locking laparoscopic suture and loop ligatures
US5376096A (en) * 1993-12-17 1994-12-27 Vance Products Inc. Medical instrument for driving a suture needle
US5769863A (en) * 1994-08-10 1998-06-23 Heartport, Inc. Surgical knot pusher and method of use
US5665096A (en) * 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5730747A (en) * 1995-06-07 1998-03-24 Smith & Nephew, Inc. Suture passing forceps
US5693059A (en) * 1995-09-15 1997-12-02 Yoon; Inbae Ligating instrument with multiple loop ligature supply and methods therefor
US5810845A (en) * 1995-09-25 1998-09-22 Yoon; Inbae Ligating instrument with multiple loop ligature supply and methods therefor
US5704943A (en) * 1995-09-25 1998-01-06 Yoon; Inbae Ligating instrument with multiple loop ligature supply and methods therefor
US5693061A (en) * 1996-02-23 1997-12-02 Pierce; Javin C. Knot puller instrument for use with surgical suture in tying surgical knots
US5947982A (en) * 1997-04-02 1999-09-07 Smith & Nephew, Inc. Suture-passing forceps
US5908429A (en) * 1997-05-01 1999-06-01 Yoon; Inbae Methods of anatomical tissue ligation
US5957936A (en) * 1997-05-01 1999-09-28 Inbae Yoon Instrument assemblies for performing anatomical tissue ligation
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US6511488B1 (en) 1998-06-23 2003-01-28 Orthopaedic Biosystems Ltd., Inc. Surgical knot manipulator
US6200329B1 (en) 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US20080091237A1 (en) * 1998-12-30 2008-04-17 Schwartz Herbert E Suture locking device
US20040153103A1 (en) * 1998-12-30 2004-08-05 Schwartz Herbert E. Soft tissue locking device
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
US8512374B2 (en) 1998-12-30 2013-08-20 Depuy Mitek, Llc Soft tissue locking device
US6051006A (en) * 1999-04-12 2000-04-18 Smith & Nephew, Inc. Suture-passing forceps
US6723107B1 (en) 1999-04-19 2004-04-20 Orthopaedic Biosystems Ltd. Method and apparatus for suturing
US9724105B2 (en) 1999-05-20 2017-08-08 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US20080125795A1 (en) * 1999-05-20 2008-05-29 Aaron V. Kaplan Methods and apparatus for transpericardial left atrial appendage closure
US8974473B2 (en) 1999-05-20 2015-03-10 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US8721663B2 (en) 1999-05-20 2014-05-13 Sentreheart, Inc. Methods and apparatus for transpericardial left atrial appendage closure
US9833231B2 (en) 1999-12-02 2017-12-05 Smith & Nephew, Inc. Apparatus for tissue repair
US20050033363A1 (en) * 1999-12-02 2005-02-10 Ray Bojarski Methods and devices for tissue repair
US20050283192A1 (en) * 1999-12-02 2005-12-22 Torrie Paul A Closure device and method for tissue repair
US8366744B2 (en) 1999-12-02 2013-02-05 Smith & Nephew, Inc. Apparatus for tissue repair
US20030130694A1 (en) * 1999-12-02 2003-07-10 Ray Bojarski Soft tissue attachment and repair
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US9492160B2 (en) 1999-12-02 2016-11-15 Smith & Nephew, Inc. Closure device and method for tissue repair
US7887551B2 (en) 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US9220494B2 (en) 1999-12-02 2015-12-29 Smith & Nephew, Inc. Methods for tissue repair
US9295461B2 (en) 1999-12-02 2016-03-29 Smith & Nephew, Inc. Methods for tissue repair
US20100114162A1 (en) * 1999-12-02 2010-05-06 Smith & Nephew, Inc. Methods for Tissue Repair
US7153312B1 (en) 1999-12-02 2006-12-26 Smith & Nephew Inc. Closure device and method for tissue repair
US8512375B2 (en) 1999-12-02 2013-08-20 Smith & Nephew, Inc. Closure device and method for tissue repair
US9545251B2 (en) 1999-12-02 2017-01-17 Smith & Nephew, Inc. Apparatus for tissue repair
US20100114161A1 (en) * 1999-12-02 2010-05-06 Smith & Nephew, Inc. Apparatus for Tissue Repair
US6443963B1 (en) 2000-07-26 2002-09-03 Orthopaedic Biosystems, Ltd. Apparatus and method for repairing or reattaching soft tissue
US7530999B2 (en) 2000-08-28 2009-05-12 Biomet Sports Medicine, Llc Method and implant for securing ligament replacement into the knee
US7837718B2 (en) 2000-08-28 2010-11-23 Biomet Sports Medicine, Llc Method and implant for securing ligament replacement into the knee
US20050149187A1 (en) * 2000-08-28 2005-07-07 Ron Clark Method and implant for securing ligament replacement into the knee
US20050197662A1 (en) * 2000-08-28 2005-09-08 Ron Clark Method and implant for securing ligament replacement into the knee
US6740099B1 (en) * 2000-10-20 2004-05-25 Mark Doyle Surgical tool for trimming wire strands
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US7931657B2 (en) 2002-01-31 2011-04-26 Biomet Sports Medicine, Llc Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US7713300B2 (en) 2002-01-31 2010-05-11 Biomet Sports Medicince, LLC Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US20060173466A1 (en) * 2002-01-31 2006-08-03 Troy Walters Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US20060173465A1 (en) * 2002-01-31 2006-08-03 Arthrotek, Inc. Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US7033364B1 (en) 2002-01-31 2006-04-25 Arthrotek, Inc. Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US8382835B2 (en) 2002-01-31 2013-02-26 Biomet Sports Medicine, Llc Apparatus and method for manipulating a flexible strand and soft tissue replacement during surgery
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US10052098B2 (en) 2002-05-22 2018-08-21 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US20030220658A1 (en) * 2002-05-22 2003-11-27 Hatch Laird L. Suture passing surgical instrument
US20050234479A1 (en) * 2002-05-22 2005-10-20 Orthopaedic Biosystems Ltd., Inc. A Delaware Corporation Suture passing surgical instrument
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US20060020273A1 (en) * 2002-05-22 2006-01-26 Orthopaedic Biosystems Ltd., Inc., A Delaware Corporation Suture passing surgical instrument
US20040104101A1 (en) * 2002-11-27 2004-06-03 Siemens Aktiengesellschaft Transport system for articles, in particular containers for baggage pieces, and control method for the transport system
US20040153074A1 (en) * 2003-02-05 2004-08-05 Bojarski Raymond A. Tissue anchor and insertion tool
US9314235B2 (en) 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US7218970B2 (en) * 2003-06-20 2007-05-15 Cardiac Pacemakers, Inc. System for medical lead tunneling
US20070191920A1 (en) * 2003-06-20 2007-08-16 Cardiac Pacemakers, Inc System for medical lead tunneling
US8065020B2 (en) 2003-06-20 2011-11-22 Cardiac Pacemakers, Inc. System for medical lead tunneling
US20040260370A1 (en) * 2003-06-20 2004-12-23 Ley Gregory R. System for medical lead tunneling
US7794471B1 (en) 2003-06-26 2010-09-14 Cardica, Inc. Compliant anastomosis system
US7341592B1 (en) 2003-10-15 2008-03-11 Biomet Sports Medicine, Inc. Method and apparatus for graft fixation
US8784489B2 (en) 2003-10-15 2014-07-22 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
US20110153018A1 (en) * 2003-10-15 2011-06-23 Biomet Sports Medicine, Llc Method and Apparatus for Graft Fixation
US20050273003A1 (en) * 2003-10-15 2005-12-08 Arthrotek, Inc. Method and apparatus for graft fixation
US7896917B2 (en) 2003-10-15 2011-03-01 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
US20070162054A1 (en) * 2003-10-28 2007-07-12 Nihon University Suture thread shifting device
US7044923B2 (en) * 2003-11-12 2006-05-16 Santos Perry M Apparatus and method for measuring a nerve diameter
US9161770B2 (en) 2003-11-12 2015-10-20 Applied Medical Resources Corporation Overmolded grasper jaw
US8545534B2 (en) 2003-11-12 2013-10-01 Applied Medical Resources Corporation Overmolded grasper jaw
US20050101883A1 (en) * 2003-11-12 2005-05-12 Santos Perry M. Apparatus and method for measuring a nerve diameter
US20050101991A1 (en) * 2003-11-12 2005-05-12 Applied Medical Resources Corporation Overmolded grasper jaw
US7494501B2 (en) 2003-11-12 2009-02-24 Applied Medical Resources Corporation Overmolded grasper jaw
US20090131975A1 (en) * 2003-11-12 2009-05-21 Applied Medical Resources Corporation Overmolded grasper jaw
US20050121042A1 (en) * 2003-12-03 2005-06-09 Belhe Kedar R. Suture based vascular closure apparatus and method incorporating a pre-tied knot
US7731726B2 (en) 2003-12-03 2010-06-08 St. Jude Medical Puerto Rico Llc Suture based vascular closure apparatus and method incorporating a pre-tied knot
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US8574246B1 (en) 2004-06-25 2013-11-05 Cardica, Inc. Compliant anastomosis system utilizing suture
US8002778B1 (en) 2004-06-28 2011-08-23 Biomet Sports Medicine, Llc Crosspin and method for inserting the same during soft ligament repair
US8398660B2 (en) 2004-08-19 2013-03-19 Boston Scientific Scimed, Inc. Suturing instrument
US8123762B2 (en) 2004-08-19 2012-02-28 Boston Scientific Scimed, Inc. Suturing instrument
US8858574B2 (en) 2004-08-19 2014-10-14 Boston Scientific Scimed, Inc. Suturing instrument
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11109857B2 (en) 2004-11-05 2021-09-07 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10265064B2 (en) 2004-11-05 2019-04-23 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20060189993A1 (en) * 2004-11-09 2006-08-24 Arthrotek, Inc. Soft tissue conduit device
US7608098B1 (en) 2004-11-09 2009-10-27 Biomet Sports Medicine, Llc Bone fixation device
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US20060247642A1 (en) * 2004-11-09 2006-11-02 Stone Kevin T Tissue fixation device
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US7883518B1 (en) 2005-01-07 2011-02-08 Cardica, Inc. Surgical knot
US7270672B1 (en) 2005-02-11 2007-09-18 Adam Joel Singer Rod for transferring and tightening knotted suture into patient's body
US20060293709A1 (en) * 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US9173653B2 (en) 2005-06-24 2015-11-03 Smith & Nephew, Inc. Tissue repair device
US20070083236A1 (en) * 2005-06-24 2007-04-12 Smith & Nephew, Inc. Methods and devices for tissue repair
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US20070156172A1 (en) * 2006-01-03 2007-07-05 Alfredo Alvarado Multipurpose knot pusher
US10675073B2 (en) 2006-02-03 2020-06-09 Biomet Sports Medicine, Llc Method and apparatus for sternal closure
US10729421B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US11896210B2 (en) 2006-02-03 2024-02-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8632569B2 (en) 2006-02-03 2014-01-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US11819205B2 (en) 2006-02-03 2023-11-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11786236B2 (en) 2006-02-03 2023-10-17 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11730464B2 (en) 2006-02-03 2023-08-22 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8771316B2 (en) 2006-02-03 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US11723648B2 (en) 2006-02-03 2023-08-15 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US11617572B2 (en) 2006-02-03 2023-04-04 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11589859B2 (en) 2006-02-03 2023-02-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11471147B2 (en) 2006-02-03 2022-10-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11446019B2 (en) 2006-02-03 2022-09-20 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US11317907B2 (en) 2006-02-03 2022-05-03 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US11284884B2 (en) 2006-02-03 2022-03-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11116495B2 (en) 2006-02-03 2021-09-14 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11065103B2 (en) 2006-02-03 2021-07-20 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
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US10932770B2 (en) 2006-02-03 2021-03-02 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10729430B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10716557B2 (en) 2006-02-03 2020-07-21 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10702259B2 (en) 2006-02-03 2020-07-07 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
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US10687803B2 (en) 2006-02-03 2020-06-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10603029B2 (en) 2006-02-03 2020-03-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10595851B2 (en) 2006-02-03 2020-03-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10542967B2 (en) 2006-02-03 2020-01-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10441264B2 (en) 2006-02-03 2019-10-15 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US20070185532A1 (en) * 2006-02-03 2007-08-09 Arthrotek, Inc. Soft tissue repair assembly and associated method
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10398428B2 (en) 2006-02-03 2019-09-03 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US10321906B2 (en) 2006-02-03 2019-06-18 Biomet Sports Medicine, Llc Method for tissue fixation
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US10154837B2 (en) 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10098629B2 (en) 2006-02-03 2018-10-16 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
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US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8777956B2 (en) 2006-08-16 2014-07-15 Biomet Sports Medicine, Llc Chondral defect repair
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US10398430B2 (en) 2006-09-29 2019-09-03 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US10835232B2 (en) 2006-09-29 2020-11-17 Biomet Sports Medicine, Llc Fracture fixation device
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US11096684B2 (en) 2006-09-29 2021-08-24 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10743925B2 (en) 2006-09-29 2020-08-18 Biomet Sports Medicine, Llc Fracture fixation device
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US11672527B2 (en) 2006-09-29 2023-06-13 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US10695045B2 (en) 2006-09-29 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for attaching soft tissue to bone
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US8231654B2 (en) 2006-09-29 2012-07-31 Biomet Sports Medicine, Llc Adjustable knotless loops
US10349931B2 (en) 2006-09-29 2019-07-16 Biomet Sports Medicine, Llc Fracture fixation device
US10610217B2 (en) 2006-09-29 2020-04-07 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11376115B2 (en) 2006-09-29 2022-07-05 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10517714B2 (en) 2006-09-29 2019-12-31 Biomet Sports Medicine, Llc Ligament system for knee joint
US11612391B2 (en) 2007-01-16 2023-03-28 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US20080228271A1 (en) * 2007-03-13 2008-09-18 Biomet Sports Medicine, Inc. Method and apparatus for graft fixation
US8900301B2 (en) 2007-03-13 2014-12-02 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
US8147546B2 (en) 2007-03-13 2012-04-03 Biomet Sports Medicine, Llc Method and apparatus for graft fixation
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US10729423B2 (en) 2007-04-10 2020-08-04 Biomet Sports Medicine, Llc Adjustable knotless loops
US11185320B2 (en) 2007-04-10 2021-11-30 Biomet Sports Medicine, Llc Adjustable knotless loops
US20080294175A1 (en) * 2007-05-21 2008-11-27 Epitek, Inc. Left atrial appendage closure
US20080312664A1 (en) * 2007-05-21 2008-12-18 Epitek, Inc. Left atrial appendage closure
US11534159B2 (en) 2008-08-22 2022-12-27 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10149767B2 (en) 2009-05-28 2018-12-11 Biomet Manufacturing, Llc Method of implanting knee prosthesis assembly with ligament link
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
WO2011154086A1 (en) 2010-06-11 2011-12-15 Olympus Winter & Ibe Gmbh Surgical instrument with end effector
DE102010023420A1 (en) 2010-06-11 2011-12-15 Olympus Winter & Ibe Gmbh Surgical instrument with end effector
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US11241305B2 (en) 2011-11-03 2022-02-08 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US11534157B2 (en) 2011-11-10 2022-12-27 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US10441302B2 (en) 2012-04-17 2019-10-15 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US11633203B2 (en) 2012-04-17 2023-04-25 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10758221B2 (en) 2013-03-14 2020-09-01 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US11648004B2 (en) 2013-12-20 2023-05-16 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10806443B2 (en) 2013-12-20 2020-10-20 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US11219443B2 (en) 2014-08-22 2022-01-11 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10743856B2 (en) 2014-08-22 2020-08-18 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
WO2016111683A1 (en) * 2015-01-07 2016-07-14 Smith & Nephew, Inc. Surgical device and method of use thereof
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method

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