Method and apparatus for suturing
DCFirst Claim
Patent Images
1. A suturing device for suturing an opening in a vessel wall comprising:
- a housing;
an actuator supported within the housing;
at least one suture clasp for holding a suture wherein the suture clasp is operatively coupled to the actuator and comprises a pair of tips each having an outside edge defining an indentation adapted to receive a suture and engage a knot or bead on a suture whereby the suture is held by the suture clasps; and
at least one suture catch supported by the housing and operatively positioned relative to the suture clasp to capture a suture held by the suture clasp.
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Abstract
A suturing device capable of suturing biological tissue including the walls of arterial blood vessels comprises suture clasps for insertion inside the central passage way of an arterial vessel. The device utilizes a suture introducer housing to aid insertion of the suture clasps in the vessel. A suture catch operates to catch a suture held by the suture clasps, remove the suture from the suture clasps, and pull the suture through the arterial wall, so the suture can be completed.
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Citations
28 Claims
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1. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; an actuator supported within the housing; at least one suture clasp for holding a suture wherein the suture clasp is operatively coupled to the actuator and comprises a pair of tips each having an outside edge defining an indentation adapted to receive a suture and engage a knot or bead on a suture whereby the suture is held by the suture clasps; and at least one suture catch supported by the housing and operatively positioned relative to the suture clasp to capture a suture held by the suture clasp. - View Dependent Claims (2)
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3. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; an actuator supported within the housing; at least one suture clasp for holding a suture, wherein the suture clasp is operatively coupled to the actuator, and at least one suture catch supported bv the housing and operatively positioned relative to the suture clasp to capture a suture held by the suture clasp, wherein the suture catch comprises a needle having an angled slot.
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4. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; an actuator supported within the housing; at least one suture clasp for holding a suture wherein the suture clasp is operatively coupled to the actuator; at least one suture catch supported by the housing and operatively positioned relative to the suture clasp to engage the suture clasp; a tube having an aperture with the suture clasp deployably disposed therein and an outer surface with a key way; and a suture catch assembly having at least one suture catch operatively positioned relative to the suture clasp and a key to engage the key way and align the tube with the suture catch assembly.
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5. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; an actuator supported within the housing; at least one suture clasp for holding a suture, wherein the suture clasp is operatively coupled to the actuator and comprises an arm defining an aperture for receiving a suture fitting; and at least one suture catch supported by the housing and operatively positioned relative to the suture clasp to capture the suture fitting, wherein the suture catch comprises a needle defining a slot having top, a peg inside the slot and extending downwardly from the top, and the peg being movable to receive a suture fitting.
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6. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; a plurality of arms attached to the housing extending in a plurality of directions, each arm having a suture clasp for holding at least one suture; a penetrating mechanism deployably attached to the housing and operatively positioned relative to the suture clasps to penetrate biological tissue with at least one suture; a suture introducer housing having the arms deployable disposed therein; and a suture catch assembly having at least one suture catch and an aperture therethrough adapted to receive the introducer housing, the suture catch assembly deployably positioned relative to the suture clasps to capture a suture held by the suture clasps. - View Dependent Claims (7, 8, 9)
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10. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; a plurality of arms attached to the housing and extending in a plurality of directions, each arm having a suture clasp for holding at least one suture; a penetrating mechanism deployably attached to the housing and operatively positioned relative to the suture clasps to penetrate biological tissue with at least one suture; a cylindrical suture introducer housing with an aperture therethrough and wherein the arms have a first retracted position inside the aperture and a second deployed position outside the aperture; and a spreader located in the aperture of the housing, extending across a diameter line of the housing, and being substantially perpendicular to the longitudinal axis of the tube. - View Dependent Claims (11, 12)
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13. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; a plurality of arms attached to the housing and extending in a plurality of directions each arm having a suture clasp for holding at least one suture; a penetrating mechanism deployably attached to the housing and operatively positioned relative to the suture clasps to penetrate biological tissue with at least one suture; and means for aligning the arms and the penetrating mechanism, and wherein the arms comprise an upper lever arm and a lower pivot arm with the suture clasp thereon. - View Dependent Claims (14, 15, 16)
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17. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; a plurality of arms attached to the housing and extending in a plurality of directions each arm having a suture clasp for holding at least one suture; a penetrating mechanism deployably attached to the housing operatively positioned relative to the suture clasps to penetrate biological tissue with at least one suture; a suture introducer housing having the arms deployably housed therein; an actuating rod having a proximal end and having a distal end attached to the arms; and an arm actuator assembly attached to the proximal end of the actuating rod for deploying the arms.
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18. A suturing device for suturing an opening in a vessel wall comprising:
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a housing; a plurality of arms attached to the housing and extending in a plurality of directions, each arm having a suture clasp for holding at least one suture; a penetrating mechanism deployably attached to the housing and operatively positioned relative to the suture clasps to penetrate biological tissue with at least one suture; an actuating rod having a proximal end and a distal end attached to the arms; and a detachable arm deployment handle removably attached to the proximal end of the actuating rod.
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19. A method of suturing a vessel comprising:
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holding a suture with at least one suture clasp; introducing at least a portion of the suture clasp and ends of the suture into an internal passage way of a vessel through an opening in a wall of the vessel; piercing the vessel wall with a suture catch; catching the suture with the suture catch; penetrating a vessel wall with the suture, the step of penetrating comprising retracting the suture catch from the vessel wall; and tying the suture.
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20. A method of suturing a vessel comprising:
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holding a suture with at least one suture clasp; introducing at least a portion of the suture clasp and ends of the suture into an internal passage way of a vessel through an opening in a wall of the vessel; penetrating a vessel wall with the suture; introducing a suture introducer housing into an opening in a vessel wall; introducing the suture into the internal passage way of the vessel through the housing; positioning the suture beyond an outer diameter of the housing; and tying the suture; wherein penetrating the vessel walls with the suture comprises penetrating the vessel wall outside the outer diameter of the housing. - View Dependent Claims (21, 22)
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23. A method of suturing a vessel comprising:
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holding a suture with at least one suture clasp; introducing at least a portion of the suture clasp and ends of the suture into an internal passage way of a vessel through an opening in a vessel; penetrating a vessel wall with the suture; introducing a suture introducer housing through an introducer in the passage way of a vessel; introducing the suture into the internal passage way of the vessel through the housing; deploying the suture clasps beyond the outer diameter of the tube; and tying the suture. - View Dependent Claims (24, 25, 26)
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27. A method of suturing a vessel comprising:
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holding a suture with at least one suture clasp; introducing at least a portion of the suture clasp and ends of the suture into an internal passage way of a vessel through an opening in a vessel; penetrating a vessel wall with the suture; orienting the suture perpendicular to the direction of blood flow in the vessel; and tying the suture.
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28. A method of suturing a vessel comprising:
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holding a suture with at least one suture clasp, wherein the suture clasps are positioned on the end of suture arms and further comprising attaching an arm deployment handle to actuating rod; introducing at least a portion of the suture clasp and ends of the suture into an internal passage way of a vessel through an opening in a vessel; penetrating a vessel wall with the suture; and tying the suture.
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Specification