|Publication number||US3918455 A|
|Publication date||11 Nov 1975|
|Filing date||31 May 1974|
|Priority date||29 Apr 1974|
|Also published as||CA1042748A, CA1042748A1, DE2519109A1|
|Publication number||US 3918455 A, US 3918455A, US-A-3918455, US3918455 A, US3918455A|
|Inventors||Myron J Coplan|
|Original Assignee||Albany Int Corp|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (6), Referenced by (287), Classifications (14)|
|External Links: USPTO, USPTO Assignment, Espacenet|
United States Patent 1191 Coplan 1451 Nov. 11, 1975 1 1 COMBINED SURGICAL SUTURE AND NEEDLE Inventor: Myron J. Coplan, Natick, Mass.
Albany International Corporation, Dedham, Mass.
Filed: May 31, 1974 Appl. No.: 475,102
Related U.S. Application Data Continuation-impart of Ser. No. 464,810, April 29.
U.S. Cl. 128/339; 128/335.5; 223/102 Int. Cl. A61B 17/06 Field of Search..... 128/334, 334 R, 335, 335.5, 128/339, 348-350; 138/118; 223/102, 103; l12/222-224; 264/290 R; 425/46l-466; 161/178, 181
References Cited UNITED STATES PATENTS 8/1914 Minahan 128/339 11/1934 Logan 128/339 3/1937 Herrmann et a1 128/3355 2,418,771 4/1947 Irwin. Jr 161/178 X 3,212,502 10/1965 Myers 128/339 3.297.033 1/1967 Schmitt 128/3355 FOREIGN PATENTS OR APPLICATIONS 177,070 1922 United Kingdom 128/339 Primary Examiner-Richard A. Gaudet Assistant Emminer-Rick Op tiZ Attorney, Agent, or Firm-Kenway & .lenney [5 7] ABSTRACT 10 Claims, 4 Drawing Figures US. Patent Nov. 11, 1975 3,918,455
FIG. 4 38 COMBINED SURGICAL SUTURE AND NEEDLE BACKGROUND OF THE INVENTION It was at one time customary to effect suturing during surgery by means of a needle having a hole or eye drilled'transversely to its axis to accept a loop of suture material threaded therethrough in the manner customarily employed in typical handsewing of fabrics. The
double thickness of suture plus the thickness of the 3,394,704) wherein the needle shank at one end has a hollow bore, the axis of the bore being parallel to the axis of the needle." A suture is assembledto such a needle by having one end inserted into the needle bore and secured therein by adhesive, or by deforming the needle at the bore toclamp the suture end in place. This does, of course, reduce'the .size of thepenetration during suturing to the maximum diameter of the needle itself.
However, itwill be. obvious that considerable skill is required to-drill a small concentric bore in the end of a small needle. There is a feasible lower limit to the diameter of the needle that can be fabricated this way. Moreover, no matter how fine the suture one desires to use in a particular surgical procedure, the hollow-bore needle must still be significantly larger in diameter than thesuture and the penetration hole therefore is larger than the suture. This contributes to unnecessary .trauma and the possibility of suture slippage and tearout. In the installation of fine prosthetic devices, for example, knitted or woven arterial grafts, the suture hole in the graft being larger than the suture itself may tend to leak blood into the adjoining tissue. Tear-out, blood leakage, and other problems with the prior art needle- 2 dissolution if suturesorption is desired; controlled localized'application of active agents to the site of the sutured tissue. The provision of a suture itself which is a hollow monofilament, and theprovision of a needle attachable easily to said monofilament and which may be reused, are also objects of the invention.
The invention accordingly comprises the elements and combinations of elements, features of construction, and arrangements of parts which will be exemplified in the structures hereinafter described, and the scope of the application of which will be indicated in the appended claims.
The suture-of this invention consists of any of several appropriate materials extruded or drawn, (or otherwise made) in the'form of monofilament. The essential feature of the monofilam'ent suture is that it have a hollow bore. Its external cross-sectional shape may be round with a round bore. Alternatively, the external peripheral shape of the suture cross-section may be oval, triangular, rectangular, or-other polygonal shapes. The
profile of the suture boremay likewise vary from round and be similar to or dissimilar from the profile of the outer suture cross-section.- The suture may be fabri- 1 cated from any of the man-made, fiber-forming polymers-such as the polyesters, polyamides and polyolefins, which are acceptable for surgical suture applications; for example, nylon, polyethylene, polypropylene,
polyethylene terephthalate, polylactide/glycolide copolymer, and polycarbonate. Regenerated collagen, although a naturally occuring polymer rather than manmade, may also be used, since fibers are produced therefrom in apparatus similar .to man-made fiber spinning equipment. The art of hollow fiber extrusion is nificance except insofar as it is necessary that the matesuture assemblies have become increasingly important deleterious effects in the application .of" microsurgical techniques where the desired suture diameteris of increasingly finer diameter.
SUMMARY OF THE INVENTION This invention concerns an improved suture, a suitablyconfigured needle, and a eom binati'on suture and needle assembly, in which the suture comprises a holrial besuitable from the medical standpointand the shape and dimensions of the filament and its hollow bore be appropriately'matched to aseleeted needle shape and dimensions, as will become apparent during further discussions hereunder.
The needle of this invention is ofa novel configuration and may be described as comprising a point end integrally joined'to a shankend.-The point end is considered to begin at the sharp tip of the whole needle and generally extends in length from. a fraction of an inch (such as 3/ 16 inch) to perhaps two or more inches.
low fiber, preferably in the form of a hollow extruded polymer monofilament. The needle is formed at its rear end with a shank portion of reduced cross-section so sized as to fit into the bore of the'hollow'filament and be anchored therein. A shoulder on the needle abuts smoothly against the end of the filament, which is preferably of the same oritsidediarhete'raS the shoulder. If
desired, the suture diameter may be made less than the outer diameter of the needle at the shank.
Among the several objectives and advantages of this.
7 invention, therefore, may benoted the provisionof an improved suture and suture-needle combination intended to achieve several ends, including: reduced trauma at the site of tissue penetration, reduced hazard of suture tear-out; improved suture "kn'ot'ability"; in-
creased knot strength; better compatability'with the Diameters of the point end, that is, the non-shank portion, may'range from 0.002 .inch upward to the diameter which is consistent with the-needle length, bearing in mind the need of stiffness (but with some degree of flexibility of the particular needle. Corresponding sutures would have an'extern'al diameter ranging from 0.002 inches 'up to the diameter of the shoulder where the shank joins the body of the needle.
The point end rnay'be straight and of simple cylindrical profile from the sharp tip to a plane of juncture with the shank end.- The point end may, alternatively, be of curved or hooked shape in elevational view. The crossprocedures for'installation of prostheses; enhanced visibility of the suture 'during surgery; controlled suture sectional profilemay' vary along the length from cylindrical, being at various positions triangular, spatulate, ovoid or the like. In any event, the cross-sectional area :g en'erally' grows from the tip with successive cross-sec- 'ltiorialplan'es smoothlymerging without steps or abrupt changesin area or shape until the plane of junction with the shank end. Here the point end abruptly terminates and the needle diameter steps down to a smaller cross-sectional area forming the shank end. At the plane of juncture with the shank end, the abrupt stepdown creates a shoulder lying in a plane transverse to the axis of the shank end. The shank surface may be roughened as by corrugations, knurling, serrations, burring, threading, or the like. In general, the cross-sectional profile of the shank may be round when the cross-sectional profile of the shoulder is round. The shank end profile may be of similar shape but smaller in cross-sectional area than the shoulder of the point end when the latter deviates from round, as for example triangular, ovoid, or the like. The shank end may also be dissimilar in cross-sectional profile from the profile of the shoulder of the point end or any other portion of the point end; for example, a flattened shank may connect to a round point end.
The combination needle and suture comprises an assembly wherein the shank end of the stepped needle is fully inserted into the filaments hollow bore with said shoulder resting against the smooth cut end of the suture; the diameter and shape of said shoulder and the outside diameter of the suture being essentially the same. The corrugations of the shank provide secure anchorage of the suture to the needle. It is an essential feature of the best embodiment of this invention that the cross-sectional profile of the end of the hollow suture conform to the profile of the shoulder of the point end, thereby forming a smooth stepless transition between needle and suture, although if desired but not as good, the outer diameter of the suture may be less than the needle diameter at the shank juncture. This shape and area conformance of the suture may be controlled at least in part by the combined effect of specific shape and cross-sectional dimensions of the shank, the suture bore, and the over-all dimensions of the suture crosssection. In any event, the cross-section of the needle at its junction with the suture must not be significantly larger than the suture. During surgery, therefore, the tissue penetration hole is not unnecessarily enlarged. As a result, the tissue suffers the least possible trauma; danger of tissue tearing and suture pull-out is minimized; leakage of blood through over-enlarged holes in tissue or prosthesis is eliminated.
The suture material may be of the so-called permanant type or of the absorbable type. In the latter instance, it may be of some advantage at the time of installation of the suture during surgery to fill the capillary core of the filament with a suitable degrading agent so that the suture material will be exposed to a more effectively controlled rate of dissolution than that occasioned by body fluids.
The suture material may be so extruded and drawn, as to have been converted to a state known as microporous hard elastic (Quynn, R., and Brody, H. J. Macromol. Sci. Phys BS(4), Dec. 1971). In this state, the polymer comprising the wall would permit fluid contained in the hollow bore to gradually diffuse through the wall of the suture into the surrounding tissue. This provides an opportunity to perfuse small amounts of active materials (disinfectants, healing aids, etc.) at the site of the sutured tissue.
In any event, the hollow bore of the suture can be filled by any simple means, such as capillary rise, or injection under pressure, with highly colored or pigmented inert fluid so as to render the suture as a whole more visible than the transparent polymer comprising the wall thereof. Likewise, the bore may be filled with 4 a solution or dispersion of radio-opaque material to render the suture visible, after closure of the tissue, by X-radiography.
In the accompanying drawings, in which several embodiments of the invention are shown:
FIG. 1 is an enlarged view of a portion of a first embodiment of this invention comprising a hollow monofilament suture having a cylindrical bore.
FIG. 2 is an enlarged illustration of a portion of a second embodiment of the invention comprising a hollow monofilament having a non-round bore.
FIG. 3 is an enlarged elevational view of one embodiment of a needle of this invention, being a straight needle showing the point end and reduced-diameter shank end.
FIG. 4 is an enlarged view, partly in section, of another embodiment of a needle of this invention combined with a hollow filament suture in an assembly of this invention.
Similar reference characters indicate corresponding parts throughout the several views of the drawings.
Dimensions of certain of the parts as shown in the drawings may have been modified and/or exaggerated for the purposes of clarity of illustration.
Referring to the drawings, FIG. 1 shows a portion of a first embodiment of a suture of this invention, identified generally by numeral 2. The suture may be made of any of the materials listed above. As shown, it is circular in cross-section and is provided with a hollow bore 4, thus forming the wall 6 of the suture which has the external surface 8 of predetermined diameter. The bore has the interior surface 10 and has a predetermined diameter.
Referring to FIG. 2, a portion 12 of a second embodiment 12 of the suture of this invention is shown. In this case, the cross-sectional shape of the suture is triangular with rounded comers. An interior bore 14 is provided, and it likewise is triangular, and preferably its walls parallel to the outer walls of the suture.
As indicated above, sutures having other external shapes may be used, and the shape of the internal bores may or may not necessarily be the same as the shape of the outer surfaces of the suture. However, for ease of use and ease of manufacture, it is preferred that the shape of the interior bore be the same as the external shape of the suture.
Referring to FIG. 3, one embodiment 16 of a needle of this invention is shown which, in this embodiment, comprises a point end portion which extends from the sharpened left-hand extremity 18 (as viewed) to a shoulder 20 at the right-hand extremity of the portion. From the sharpened tip 18 to the shoulder 20, the needle increases in cross-section.
A shank end portion 22 extends from the shoulder 20, and is provided, as an example, with the serrations 24, the function of which is to securely hold the end of a suture onto the shank end when the shank is inserted into the bore of the suture. The number of serrations is not critical, and expediency will dictate the number used. Instead of serrations, a screw thread may be formed on the shank end 22 so that the needle may be screwed into the bore of the suture. Other fastening means may be provided such as by just roughening the shank end, knurling it, or providing it with barbs, etc. Where the shank diameter is extremely small, it may be smooth and sufficient strength will be provided by the cement used to hold the suture and needle together.
- 'It' will be noted that the cross-section of the righthand end of the needle end portion is circular, and thus the circular suture shown in FIG. 1 will be used with the FIG. 3 needle. The external diameter of the suture of It is also possible to provide a needle whose shank cross-sectional area slightly exceeds the hollow core cross-sectional area. Thus, upon forced insertion of the shank into the hollow filament, the wall thereof will be FIG. 1 and the diam'eterof the shoulder 20 are to be the 5 slightly distended and the outside diameter of the filasame, so that when the suture of FIG. 1 is mounted on ment along the zone encasing the shank may exceed the shank end 22 (by forcibly inserting the latter into that of both the needle at its shoulder and the remainthe bore 4), there will be a smooth continuous external der of the suture beyond the entry point of the shank. surface provided at the junction of suture and needle This excess diameter may be eliminated by rolling the without roughness, and thus tissue trauma will be filament between heated platens until the polymer avoided. flows slightly under the pressure. Or, the suture-needle If desired, the end 26 of the shank may be pointed or assembly may be passed between grooved rolls, the rounded to permit facile insertion of the shank end into grooves thereof being exactly sized to the diameter of the bore of the suture. the needle shoulder.
Referring to FIG. 4, there is shown in greatly en- Table I below sets forth examples of needles and sularged view a portion of a suture attached to a needle, tures that have been successfully made:
Table I Examples of Tested Sutures and Needles of this Invention (A) SUTURES (B) NEEDLES Polymer O.D. I.D. Tenacity Shape Major Shank (mils) (mils) (gpd) Diam. Diam. (mils) (mils) Polyhexamethylene Adipamide 2.2 0.6 Polycaprolactam 19.7 12.5 Curved 20.0 13 .0 Polyethylene Terephthalate 8.3 4.0 4.3 Straight 8.5 4.0 Polypropylene 8.4 3.4 5.9 Straight 8.5 4.0 Polyoxymethylene 4.8 4.1 4.8 Polyethylene Terephthalate 10.2 3.1 2.9 Straight 10.3 3.6
the needle 28 in this instance, being a curved type.
Needle 28 has the needle end portion termination at will thus be observed that the serrations 36 become embedded in the inner wall of the bore and thus securely fasten the suture to the shankend.
As indicated above, the diameters of the point end of the needle at the shoulder 32 and the diameter of the suture 2 are to be the same at the juncture 38 of the end of the suture and the shoulder, so that there is a smooth transition from one to the other.
Where a needle is to be used which at least at the shoulder is, for example, of polygonal shape such as triangular, then the suture of FIG. 2 is to be used, with the dimensions of the sides of the shoulder triangle (and curved apices if any) being matched exactly by the dimensions of the sides of the triangular suture (and the latters curved apices if any). Similar considerations are to govern the fitting of other polygon-shaped needle shoulders to matching polygon-shaped hollow monofilament sutures. 1
The assembly of the shank into the bore of the filament may be accompanied by the application of heatto shrink the filament tightly onto the shank and encourage thorough interpenetrationwith the rugosities on its surface. As another option, suitable adhesive may be applied at the site of the shank-filament juncture to enhance further the bonding efficiency.
In Table II are shown knot efficiencies corresponding to the sutures of Table I(A) Knot efficiency was determined as follows: A simple overhand knot was formed in a length of the particular suture. The section of the suture having the knot was then pulled to rupture (which occurred at the knot) in standard test equipment and under standard conditions. The knot efficiency was then calculated by taking the tensile strength (rupture force) of the knotted suture of this invention as a percent of the tensile strength (rupture force) of an unknotted length of that suture under the same standard conditions. Tenacity is a technical word used by the fiber industry and means the specific force required to rupture a fiber.
In Table I, tenacity is a word used in the fiber industry and the (gpd) indicates grams per denier required to rupture the suture. The needles were made of stainless steel and the shank was held in the suture bore by adhesive suitable for the material used.
It will be noted that no needle is provided for the suture having an CD. of 22 mils. However, the suture itself has been made, and when used with a conventional needle, works satisfactorily. Since it is hollow (as well as the other sutures of this invention), it may if desired, be filled with any of the materials mentioned 7 above, such as a degradant material, or antiseptics, or dyed opaque to Xrays. Because of its hollow nature, the suture has the enhanced knot-retaining characteristic mentioned below.
Other advantages accruing from the hollow suture are improved knotability and increased knot strength efficiency. In general, it is desired to be able to slide a length of suture smoothly and easily through various loopshapes until a knot is formed and pulled tight. Thereafter, it is desired that the formed knot retain its tightened configuration against the various stresses of further suturing or subsequently arising from post-surgical activity. In the instance of the hollow-bore filament, the ease of forming a knot and sliding of filaments through loops is quite high, but once a knot has been formed and pulled tight, the compressibility of the hollow filament permits filament profile shape changes, compacting the filament diameter locally under the tension of knotting. This local filament distortion tends to lock in the knot shape more tightly, and, in fact, makes for a more compact knot. Likewise, the distortability of the wall of the hollow filament contributes to superior distribution of stresses at the knot and improved translation of straight tensile strength into knot strength.
The sutures of this invention enjoy all the known advantages that monofilament sutures have demonstrated over the braided multifilament silk or cotten sutures. Obviously, these materials being of natural origin and used in their original fine-fiber state are not monofilaments. Rather, sutures comprised of silk or cotton have customarily been produced in the form of twisted and plied yarns, or braided yarns. Structures such as these tend to encourage infection because of the interstitial crevices capable of trapping and retaining tissue, plasma, and the like, whereas no such difficulty arises from smooth-surfaced monofilaments. Likewise, knot slide-down is found easier in the monofilament sutures than in braided strands because of the surface friction of the latter.
As indicated, while the bore of the suture and the shank end of the needle may each conveniently be circular in cross-section, these may also each be of some other cross-sectional profile. For example, in the preparation of hollow filaments from segmented arc type spinnerets the hole shape may approximate a roundedcorner triangle, square, or some other polygon. A shank of similar cross-section may be fabricated to essentially match the non-round hole shape. Ridges, corrugations, or screwlike threads on the shank of the needle are intended for biting into the internal surface of the filament wall and these may be exaggerated to secure even better anchorage at the thickened zones associated with non-round contours. The solid cross-sectional area of the monofilament is to comprise from to 90% of the total cross-sectional area of the suture.
The diameters of the needles at the needle shank juncture may lie within the range of 2 to 30 mils with said shank portions lying within the range of l mil to 20 mils, and the outside diameters of the sutures may lie within the range of 2 30 mils, with the bore diameters ranging from 1 to 20 mils.
As to the smaller diameter needles, the reduceddiameter shank portion may be formed, if desired, by electrochemical machining or forming processes already known in the art.
It will be understood that the needle and suture combination may be prepared, assembled, and packaged as a combination. Alternatively, the needle and suture may be assembled by operating-room personnel immediately prior to or during the surgical use thereof. This provides a further desirable advantage of this invention that broken or blunted needles may be replaced at the head end of a particular suture filament during the course of the suturing process if this appears to be required.
In view of the above it will be seen that the several objects of the invention are achieved and other advantageous results attained.
It is to be understood that the invention is not limited in its application to the details of construction and arrangement of parts illustrated in the accompanying drawings, since the invention is capable of other embodiments of being practiced or carried out in various ways. Also, it is to be understood that the phraseology or terminology employed herein is for the purpose of description and not of limitation.
As many changes could be made in the above constructions without departing from the scope of the invention, it is intended that all matter contained in the above description or shown in the accompanying drawings, shall be interpreted as illustrative and not in a limiting sense, and it is also intended that the appended claims shall cover all such equivalent variations as come within the true spirit and scope of the invention.
Having described the invention, what is claimed is:
1. In combination, a suture and needle joined together, the suture comprising a length of monofilament having an internal bore and having an external predetermined peripheral shape of predetermined first dimensions; the needle comprising a needle end portion and a shank end portion, the needle end portion extending from a point at one end thereof to a shoulder at the other end thereof, the periphery of the needle at the shoulder having the same shape as said first peripheral shape and having corresponding cross-sectional dimensions no less than said first dimensions; the shank end portion extending from the shouldered end of the needle end portion and being of predetermined dimensions and shape smaller than the external dimensions of the suture, said shank end portion being inserted into and held in said bore with the end of the suture abutting said shoulder in close engagement therewith.
2. The combination of claim 1, in which at the juncture of the needle and the suture at the said shoulder, the transition lengthwise from the needle material to the suture material is smooth.
3. The combination of claim 1 in which the transverse cross-section of each of the suture and bore is circular, the outside diameter of the suture ranging from approximately 0.002 inches to approximately 0.03 inches, and the diameter of the bore ranging from approximately 0.001 inches to approximately 0.020 inches; and the diameter of the needle at the juncture of the shank portion and the needle end portion ranging from approximately 0.002 inches to approximately 0.030 inches.
4. The combination of claim 1 in which the needle has a length ranging from 3/16 inch upwardly to 2 inches.
5. The combination of claim 1, in which the suture has a polygonal outer surface.
6. The combination of claim 1, in which the suture material is aman-made fiber-forming polymer.
10 copolymer, and polycarbonate.
9. The combination of claim 1, in which the shank end of said needle is provided with means to hold the suture thereon.
10. The combination of claim 9, in which said means comprises serrations on the surface of the shank end.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US1106667 *||9 Jun 1913||11 Aug 1914||Patrick Robert Minahan||Eyeless needle.|
|US1981651 *||23 Jun 1933||20 Nov 1934||Logan Owen J||Surgical needle and suture|
|US2072302 *||3 Mar 1932||2 Mar 1937||Chemische Forschungs Gmbh||Polymerized vinyl alcohol articles and processes of making same|
|US2418771 *||15 Dec 1943||8 Apr 1947||Irwin Jr John||Thread, yarn, filament, and the like|
|US3212502 *||25 Jan 1963||19 Oct 1965||Myers Hu C||Knotless adhesive impregnated sutures and method of use thereof|
|US3297033 *||31 Oct 1963||10 Jan 1967||American Cyanamid Co||Surgical sutures|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4034763 *||10 Jun 1976||12 Jul 1977||Frazier Calvin H||Ligament forming suture|
|US4069825 *||28 Jan 1976||24 Jan 1978||Taichiro Akiyama||Surgical thread and cutting apparatus for the same|
|US4624256 *||11 Sep 1985||25 Nov 1986||Pfizer Hospital Products Group, Inc.||Caprolactone polymers for suture coating|
|US4880002 *||9 Dec 1987||14 Nov 1989||Corvita Corporation||Stretchable porous sutures|
|US5009229 *||6 Dec 1989||23 Apr 1991||Medtronic, Inc.||Steroid eluting intramuscular lead|
|US5041128 *||4 Jun 1990||20 Aug 1991||United States Sirgical Corporation||Combined surgical needle-suture device possessing an integrated suture cut-off feature|
|US5051107 *||4 Jun 1990||24 Sep 1991||United States Surgical Corporation||Surgical needle-suture attachment for controlled suture release|
|US5059212 *||4 Jun 1990||22 Oct 1991||United States Surgical Corporation||Surgical needle-suture attachment for controlled separation of the needle from the suture|
|US5067959 *||4 Jun 1990||26 Nov 1991||United States Surgical Corporation||Surgical needle-suture attachement for controlled suture release|
|US5084063 *||4 Jun 1990||28 Jan 1992||United States Surgical Corporation||Surgical needle-suture attachment|
|US5086787 *||28 Feb 1991||11 Feb 1992||Medtronic, Inc.||Steroid eluting intramuscular lead|
|US5089010 *||4 Jun 1990||18 Feb 1992||United States Surgical Corporation||Surgical needle-suture attachment possessing weakened suture segment for controlled suture release|
|US5089011 *||21 Jun 1990||18 Feb 1992||United States Surgical Corporation||Combined surgical needle-suture device possessing an integrated suture cut-off feature|
|US5092848 *||5 Oct 1990||3 Mar 1992||Deciutiis Vincent L||Intravenous catheter with built-in cutting tip and method for making the same|
|US5102418 *||27 Feb 1991||7 Apr 1992||United States Surgical Corporation||Method for attaching a surgical needle to a suture|
|US5116358 *||23 Jul 1990||26 May 1992||United States Surgical Corporation||Combined surgical needle-suture device possessing a controlled suture separation feature|
|US5123911 *||12 Nov 1991||23 Jun 1992||United States Surgical Corporation||Method for attaching a surgical needle to a suture|
|US5133738 *||21 Aug 1990||28 Jul 1992||United States Surgical Corporation||Combined surgical needle-spiroid braided suture device|
|US5139514 *||7 Oct 1991||18 Aug 1992||United States Surgical Corporation||Combined needle-suture device|
|US5156615 *||18 Nov 1991||20 Oct 1992||United States Surgical Corporation||Surgical needle-suture attachment for controlled suture release|
|US5211644 *||20 Sep 1991||18 May 1993||Pmt Corporation||Process and apparatus for a dermal graft|
|US5226912 *||21 Aug 1990||13 Jul 1993||United States Surgical Corporation||Combined surgical needle-braided suture device|
|US5234006 *||18 Jan 1991||10 Aug 1993||Eaton Alexander M||Adjustable sutures and method of using the same|
|US5259845 *||3 Apr 1991||9 Nov 1993||United States Surgical Corporation||Surgical needle-suture attachment with a lubricated suture tip for controlled suture release|
|US5280674 *||12 Nov 1991||25 Jan 1994||United States Surgical Corporation||Apparatus for attaching a surgical needle to a suture|
|US5282829 *||15 Aug 1991||1 Feb 1994||United States Surgical Corporation||Hollow body implants|
|US5306288 *||29 Apr 1991||26 Apr 1994||United States Surgical Corporation||Combined surgical needle-suture device|
|US5358498 *||1 Feb 1990||25 Oct 1994||Deknatel Technology Corporation, Inc.||Needled suture|
|US5403345 *||12 Oct 1993||4 Apr 1995||United States Surgical Corporation||Needle suture attachment|
|US5458609 *||4 May 1993||17 Oct 1995||Laurus Medical Corporation||Surgical needle and retainer system|
|US5540704 *||2 Mar 1994||30 Jul 1996||Laurus Medical Corporation||Endoscopic suture system|
|US5575800 *||14 Nov 1994||19 Nov 1996||Laurus Medical Corporation||Endoscopic suture system|
|US5578044 *||26 Sep 1994||26 Nov 1996||Laurus Medical Corporation||Endoscopic suture system|
|US5662664 *||18 May 1995||2 Sep 1997||Laurus Medical Corporation||Endoscopic suture system|
|US5667528 *||22 Nov 1995||16 Sep 1997||United States Surgical Corporation||Braided suture surgical incision member attachment|
|US5700272 *||27 Sep 1995||23 Dec 1997||Laurus Medical Corporation||Endoscopic suture system|
|US5713910 *||7 Nov 1995||3 Feb 1998||Laurus Medical Corporation||Needle guidance system for endoscopic suture device|
|US5741277 *||25 Jun 1996||21 Apr 1998||Laurus Medical Corporation||Endoscopic suture system|
|US5741279 *||6 Nov 1996||21 Apr 1998||Laurus Medical Corporation||Endoscopic suture system|
|US6031018 *||1 Dec 1997||29 Feb 2000||Ethicon, Inc.||Solventless tipping of braided surgical ligature|
|US6048351 *||10 Apr 1998||11 Apr 2000||Scimed Life Systems, Inc.||Transvaginal suturing system|
|US6346111||30 Sep 1999||12 Feb 2002||Scimed Life Systems, Inc.||Suturing instruments and methods of use|
|US6869436 *||7 Feb 2002||22 Mar 2005||Scimed Life Systems, Inc.||Surgical clip with a self-releasing fluid reservoir|
|US6936052||7 Mar 2002||30 Aug 2005||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US6955643||12 Jun 2003||18 Oct 2005||Boston Scientific Scimed, Inc.||Endoscopic suture instrument|
|US6991597||7 Mar 2002||31 Jan 2006||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US7025772||7 Mar 2002||11 Apr 2006||Scimed Life Systems, Inc.||System for implanting an implant and method thereof|
|US7033370||12 Sep 2003||25 Apr 2006||Boston Scientific Scimed, Inc.||Suturing instruments and methods of use|
|US7056331||30 Sep 2002||6 Jun 2006||Quill Medical, Inc.||Suture method|
|US7060077||18 May 2001||13 Jun 2006||Boston Scientific Scimed, Inc.||Suturing instruments and methods of use|
|US7225512||29 Aug 2002||5 Jun 2007||Quill Medical, Inc.||Method of forming barbs on a suture and apparatus for performing same|
|US7226468||21 Apr 2003||5 Jun 2007||Quill Medical, Inc.||Barbed bodily tissue connector|
|US7232447||12 Jun 2003||19 Jun 2007||Boston Scientific Scimed, Inc.||Suturing instrument with deflectable head|
|US7235043||7 Mar 2002||26 Jun 2007||Boston Scientific Scimed Inc.||System for implanting an implant and method thereof|
|US7361138||31 Jul 2003||22 Apr 2008||Scimed Life Systems, Inc.||Bioabsorbable casing for surgical sling assembly|
|US7371253||9 Aug 2004||13 May 2008||Quill Medical, Inc.||Suture anchor and method|
|US7377927||27 Mar 2006||27 May 2008||Abbott Laboratories||Systems, devices and methods for suturing patient tissue|
|US7390328||19 Dec 2003||24 Jun 2008||Abbott Laboratories||Device and method for suturing of internal puncture sites|
|US7402133||14 Aug 2003||22 Jul 2008||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US7442198||12 Jun 2003||28 Oct 2008||Boston Scientific Scimed, Inc.||Suturing instrument with multi-load cartridge|
|US7445626 *||16 Dec 2003||4 Nov 2008||Abbott Laboratories||Device and method for suturing tissue|
|US7481826||30 Sep 2003||27 Jan 2009||Ethicon, Inc.||Fluid emitting suture needle|
|US7553325 *||6 Aug 2003||30 Jun 2009||Boston Scientific Scimed, Inc.||Bioabsorbable marker having radiopaque constituents|
|US7624487||1 Dec 2009||Quill Medical, Inc.||Apparatus and method for forming barbs on a suture|
|US7749151 *||6 Jul 2010||Cp Medical, Inc.||Brachytherapy spacer|
|US7749250||6 Jul 2010||Biomet Sports Medicine, Llc||Soft tissue repair assembly and associated method|
|US7754241||10 Nov 2005||13 Jul 2010||Clemson University Research Foundation||Macromonomer for preparation of a degradable hydrogel|
|US7806908||2 Jan 2008||5 Oct 2010||Quill Medical, Inc.||Barbed tissue connector|
|US7824326||2 Nov 2010||Boston Scientific Scimed, Inc.||Bioabsorbable casing for surgical sling assembly|
|US7833235||13 Mar 2006||16 Nov 2010||Boston Scientific Scimed, Inc.||Placing sutures|
|US7842048||30 Nov 2010||Abbott Laboratories||Articulating suture device and method|
|US7846170||20 Mar 2007||7 Dec 2010||Abbott Laboratories||Articulating suturing device and method|
|US7850701||2 Aug 2004||14 Dec 2010||Abbott Laboratories||Articulating suturing device and method|
|US7857829||11 May 2007||28 Dec 2010||Quill Medical, Inc.||Suture method|
|US7857830||9 Oct 2007||28 Dec 2010||Biomet Sports Medicine, Llc||Soft tissue repair and conduit device|
|US7875055 *||25 Jan 2011||Ethicon, Inc.||Active suture for the delivery of therapeutic fluids|
|US7883517||8 Feb 2011||Abbott Laboratories||Vascular suturing device|
|US7897090 *||17 Aug 2007||1 Mar 2011||Johnson & Johnson Medical Gmbh||Method for forming a vessel-loop|
|US7905903||6 Nov 2007||15 Mar 2011||Biomet Sports Medicine, Llc||Method for tissue fixation|
|US7905904||15 Mar 2011||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US7909851||22 Mar 2011||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US7913365||27 Mar 2007||29 Mar 2011||Quill Medical, Inc.||Method of forming barbs on a suture and apparatus for performing same|
|US7959650||14 Jun 2011||Biomet Sports Medicine, Llc||Adjustable knotless loops|
|US7988702||2 Aug 2011||Boston Scientific Scimed, Inc.||Surgical clip with a self-releasing fluid reservoir|
|US7996967||4 Aug 2010||16 Aug 2011||Quill Medical, Inc.||System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size|
|US7996968||16 Aug 2011||Quill Medical, Inc.||Automated method for cutting tissue retainers on a suture|
|US8011072||4 Aug 2010||6 Sep 2011||Quill Medical, Inc.||Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size|
|US8015678||13 Sep 2011||Quill Medical, Inc.||Method for cutting a suture to create tissue retainers of a desired shape and size|
|US8020263||20 Sep 2011||Quill Medical, Inc.||Automated system for cutting tissue retainers on a suture|
|US8028387||4 Aug 2010||4 Oct 2011||Quill Medical, Inc.||System for supporting and cutting suture thread to create tissue retainers thereon|
|US8028388||4 Aug 2010||4 Oct 2011||Quill Medical, Inc.||System for cutting a suture to create tissue retainers of a desired shape and size|
|US8032996||13 May 2004||11 Oct 2011||Quill Medical, Inc.||Apparatus for forming barbs on a suture|
|US8033983||11 Oct 2011||Boston Scientific Scimed, Inc.||Medical implant|
|US8038688||14 Nov 2005||18 Oct 2011||Abbott Laboratories||Articulating suturing device and method|
|US8048092||1 Nov 2011||Abbott Laboratories||Articulating suturing device and method|
|US8048108||4 Feb 2009||1 Nov 2011||Abbott Vascular Inc.||Vascular closure methods and apparatuses|
|US8057491||13 Dec 2010||15 Nov 2011||Abbott Laboratories||Articulating suturing device and method|
|US8083754||8 Aug 2005||27 Dec 2011||Abbott Laboratories||Vascular suturing device with needle capture|
|US8083770||27 Dec 2011||Quill Medical, Inc.||Suture anchor and method|
|US8088130||29 May 2009||3 Jan 2012||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to a bone|
|US8088146 *||14 Jun 2004||3 Jan 2012||Teleflex Medical Incorporated||High-strength suture|
|US8100940||24 Jan 2012||Quill Medical, Inc.||Barb configurations for barbed sutures|
|US8118834||19 Dec 2008||21 Feb 2012||Angiotech Pharmaceuticals, Inc.||Composite self-retaining sutures and method|
|US8118836||22 Aug 2008||21 Feb 2012||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to a bone|
|US8123762||19 Aug 2004||28 Feb 2012||Boston Scientific Scimed, Inc.||Suturing instrument|
|US8128656||27 Sep 2005||6 Mar 2012||Ethicon, Inc.||Device for creating and maintaining infusion passages in tissue|
|US8128658||22 Aug 2008||6 Mar 2012||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to bone|
|US8137364||11 Sep 2003||20 Mar 2012||Abbott Laboratories||Articulating suturing device and method|
|US8137382||22 Aug 2008||20 Mar 2012||Biomet Sports Medicine, Llc||Method and apparatus for coupling anatomical features|
|US8162816||24 Apr 2012||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8172860||12 Dec 2008||8 May 2012||Abbott Laboratories||Articulating suturing device and method|
|US8202281||29 Nov 2010||19 Jun 2012||Abbott Laboratories||Systems for anchoring a medical device in a body lumen|
|US8211122||9 Aug 2007||3 Jul 2012||Abbott Laboratories||Device for suturing intracardiac defects|
|US8216273||25 Feb 2009||10 Jul 2012||Ethicon, Inc.||Self-retainers with supporting structures on a suture|
|US8221454||27 Oct 2009||17 Jul 2012||Biomet Sports Medicine, Llc||Apparatus for performing meniscus repair|
|US8222564||13 Jan 2009||17 Jul 2012||Tyco Healthcare Group, Lp||Methods of altering surgical fiber|
|US8231654||6 May 2011||31 Jul 2012||Biomet Sports Medicine, Llc||Adjustable knotless loops|
|US8246652||4 Aug 2010||21 Aug 2012||Ethicon, Inc.||Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations|
|US8251998||28 Aug 2012||Biomet Sports Medicine, Llc||Chondral defect repair|
|US8252008||28 Aug 2012||Abbott Laboratories||Articulating suturing device and method|
|US8257368||9 Aug 2007||4 Sep 2012||Abbott Laboratories||Device for suturing intracardiac defects|
|US8257369||4 Sep 2012||Boston Scientific Scimed, Inc.||Suturing instrument with pivotable distal portion|
|US8257393||4 Dec 2003||4 Sep 2012||Ethicon, Inc.||Active suture for the delivery of therapeutic fluids|
|US8267947||21 Jul 2006||18 Sep 2012||Abbott Laboratories||Vascular suturing device|
|US8273106||22 Dec 2010||25 Sep 2012||Biomet Sports Medicine, Llc||Soft tissue repair and conduit device|
|US8292921||11 Mar 2011||23 Oct 2012||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US8293531||29 Aug 2008||23 Oct 2012||Clemson University Research Foundation||Three-dimensional ex vivo system|
|US8298262||22 Jun 2009||30 Oct 2012||Biomet Sports Medicine, Llc||Method for tissue fixation|
|US8303604||30 Sep 2009||6 Nov 2012||Biomet Sports Medicine, Llc||Soft tissue repair device and method|
|US8313498||20 Nov 2012||Abbott Laboratories||Vascular suturing device|
|US8317825||7 Apr 2009||27 Nov 2012||Biomet Sports Medicine, Llc||Soft tissue conduit device and method|
|US8323298||19 Nov 2010||4 Dec 2012||Abbott Laboratories||Articulating suturing device and method|
|US8337525||11 Mar 2011||25 Dec 2012||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US8343227||27 May 2010||1 Jan 2013||Biomet Manufacturing Corp.||Knee prosthesis assembly with ligament link|
|US8361088||23 Oct 2008||29 Jan 2013||Abbott Laboratories||Device and method for suturing intracardiac defects|
|US8361113||22 Jun 2009||29 Jan 2013||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to a bone|
|US8366725||5 Feb 2013||Boston Scientific Scimed, Inc.||Placing sutures|
|US8398660||19 Mar 2013||Boston Scientific Scimed, Inc.||Suturing instrument|
|US8409253||2 Apr 2013||Biomet Sports Medicine, Llc||Soft tissue repair assembly and associated method|
|US8419753||16 Apr 2013||Abbott Laboratories||Suturing device with split arm and method of suturing tissue|
|US8430893||23 Aug 2012||30 Apr 2013||Abbott Laboratories||Articulating suturing device and method|
|US8500818||27 May 2010||6 Aug 2013||Biomet Manufacturing, Llc||Knee prosthesis assembly with ligament link|
|US8506597||25 Oct 2011||13 Aug 2013||Biomet Sports Medicine, Llc||Method and apparatus for interosseous membrane reconstruction|
|US8551140||13 Jul 2011||8 Oct 2013||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to bone|
|US8562645||2 May 2011||22 Oct 2013||Biomet Sports Medicine, Llc||Method and apparatus for forming a self-locking adjustable loop|
|US8562647||29 Oct 2010||22 Oct 2013||Biomet Sports Medicine, Llc||Method and apparatus for securing soft tissue to bone|
|US8574235||19 May 2011||5 Nov 2013||Biomet Sports Medicine, Llc||Method for trochanteric reattachment|
|US8574244||19 Dec 2007||5 Nov 2013||Abbott Laboratories||System for closing a puncture in a vessel wall|
|US8597309||13 Sep 2012||3 Dec 2013||Abbott Laboratories||Suturing device with split arm and method of suturing tissue|
|US8597327||3 Nov 2010||3 Dec 2013||Biomet Manufacturing, Llc||Method and apparatus for sternal closure|
|US8608777||21 Oct 2011||17 Dec 2013||Biomet Sports Medicine||Method and apparatus for coupling soft tissue to a bone|
|US8615856||30 Jan 2009||31 Dec 2013||Ethicon, Inc.||Apparatus and method for forming self-retaining sutures|
|US8617048||7 Mar 2002||31 Dec 2013||Boston Scientific Scimed, Inc.||System for implanting an implant and method thereof|
|US8632453||15 Jul 2008||21 Jan 2014||Boston Scientific Scimed, Inc.||Spacer for sling delivery system|
|US8632569||20 Dec 2012||21 Jan 2014||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US8641732||25 Feb 2009||4 Feb 2014||Ethicon, Inc.||Self-retaining suture with variable dimension filament and method|
|US8652170||4 Aug 2010||18 Feb 2014||Ethicon, Inc.||Double ended barbed suture with an intermediate body|
|US8652171||2 May 2011||18 Feb 2014||Biomet Sports Medicine, Llc||Method and apparatus for soft tissue fixation|
|US8652172||6 Jul 2011||18 Feb 2014||Biomet Sports Medicine, Llc||Flexible anchors for tissue fixation|
|US8663248||12 Dec 2008||4 Mar 2014||Abbott Laboratories||Articulating suturing device and method|
|US8663252||1 Sep 2010||4 Mar 2014||Abbott Cardiovascular Systems, Inc.||Suturing devices and methods|
|US8672966||29 Dec 2011||18 Mar 2014||Teleflex Medical Incorporated||High-strength suture|
|US8672968||8 Feb 2010||18 Mar 2014||Biomet Sports Medicine, Llc||Method for implanting soft tissue|
|US8672969||7 Oct 2011||18 Mar 2014||Biomet Sports Medicine, Llc||Fracture fixation device|
|US8679158||4 Aug 2010||25 Mar 2014||Ethicon, Inc.||Multiple suture thread configuration with an intermediate connector|
|US8690914||4 Aug 2010||8 Apr 2014||Ethicon, Inc.||Suture with an intermediate barbed body|
|US8696687||6 Sep 2005||15 Apr 2014||Boston Scientific Scimed, Inc.||Endoscopic suturing instruments|
|US8709021||5 Nov 2007||29 Apr 2014||Boston Scientific Scimed, Inc.||Suturing instrument|
|US8721664||12 Mar 2013||13 May 2014||Ethicon, Inc.||Suture methods and devices|
|US8721681 *||30 Jun 2009||13 May 2014||Ethicon, Inc.||Barbed suture in combination with surgical needle|
|US8721684||5 Mar 2012||13 May 2014||Biomet Sports Medicine, Llc||Method and apparatus for coupling anatomical features|
|US8734485||4 Aug 2010||27 May 2014||Ethicon, Inc.||Sutures with barbs that overlap and cover projections|
|US8734486||4 Aug 2010||27 May 2014||Ethicon, Inc.||Multiple suture thread configuration with an intermediate connector|
|US8747437||4 Aug 2010||10 Jun 2014||Ethicon, Inc.||Continuous stitch wound closure utilizing one-way suture|
|US8764776||4 Aug 2010||1 Jul 2014||Ethicon, Inc.||Anastomosis method using self-retaining sutures|
|US8764796||10 Feb 2006||1 Jul 2014||Ethicon, Inc.||Suture method|
|US8771295||1 May 2009||8 Jul 2014||Boston Scientific Scimed, Inc.||Suturing instrument and method for uterine preservation|
|US8771313||19 Dec 2008||8 Jul 2014||Ethicon, Inc.||Self-retaining sutures with heat-contact mediated retainers|
|US8771316||5 Mar 2012||8 Jul 2014||Biomet Sports Medicine, Llc||Method and apparatus for coupling anatomical features|
|US8771352||17 May 2011||8 Jul 2014||Biomet Sports Medicine, Llc||Method and apparatus for tibial fixation of an ACL graft|
|US8777956||16 Aug 2012||15 Jul 2014||Biomet Sports Medicine, Llc||Chondral defect repair|
|US8777987||26 Sep 2008||15 Jul 2014||Ethicon, Inc.||Self-retaining sutures including tissue retainers having improved strength|
|US8777988||4 Aug 2010||15 Jul 2014||Ethicon, Inc.||Methods for using self-retaining sutures in endoscopic procedures|
|US8777989||4 Aug 2010||15 Jul 2014||Ethicon, Inc.||Subcutaneous sinusoidal wound closure utilizing one-way suture|
|US8793863||11 Apr 2008||5 Aug 2014||Ethicon, Inc.||Method and apparatus for forming retainers on a suture|
|US8795332||30 Sep 2002||5 Aug 2014||Ethicon, Inc.||Barbed sutures|
|US8801783||27 May 2010||12 Aug 2014||Biomet Sports Medicine, Llc||Prosthetic ligament system for knee joint|
|US8821540||4 Aug 2010||2 Sep 2014||Ethicon, Inc.||Self-retaining sutures having effective holding strength and tensile strength|
|US8840645||17 Feb 2012||23 Sep 2014||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to a bone|
|US8852232||4 Aug 2010||7 Oct 2014||Ethicon, Inc.||Self-retaining sutures having effective holding strength and tensile strength|
|US8858573||24 Apr 2012||14 Oct 2014||Abbott Cardiovascular Systems, Inc.||Apparatus and method for suturing body lumens|
|US8858574||14 Feb 2013||14 Oct 2014||Boston Scientific Scimed, Inc.||Suturing instrument|
|US8864778||10 Apr 2012||21 Oct 2014||Abbott Cardiovascular Systems, Inc.||Apparatus and method for suturing body lumens|
|US8875607||30 Jan 2009||4 Nov 2014||Ethicon, Inc.||Apparatus and method for forming self-retaining sutures|
|US8876865||14 Apr 2009||4 Nov 2014||Ethicon, Inc.||Self-retaining sutures with bi-directional retainers or uni-directional retainers|
|US8900314||19 Dec 2012||2 Dec 2014||Biomet Manufacturing, Llc||Method of implanting a prosthetic knee joint assembly|
|US8915943||3 Apr 2008||23 Dec 2014||Ethicon, Inc.||Self-retaining systems for surgical procedures|
|US8916077||19 Dec 2008||23 Dec 2014||Ethicon, Inc.||Self-retaining sutures with retainers formed from molten material|
|US8920442||23 Aug 2006||30 Dec 2014||Abbott Vascular Inc.||Vascular opening edge eversion methods and apparatuses|
|US8926659||20 Dec 2010||6 Jan 2015||Ethicon, Inc.||Barbed suture created having barbs defined by variable-angle cut|
|US8932328||3 Nov 2009||13 Jan 2015||Ethicon, Inc.||Length of self-retaining suture and method and device for using the same|
|US8932331||5 Mar 2012||13 Jan 2015||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to bone|
|US8936621||3 Nov 2011||20 Jan 2015||Biomet Sports Medicine, Llc||Method and apparatus for forming a self-locking adjustable loop|
|US8961560||16 Dec 2010||24 Feb 2015||Ethicon, Inc.||Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods|
|US8968362||11 Mar 2011||3 Mar 2015||Covidien Lp||Coated looped suture|
|US8968364||17 May 2011||3 Mar 2015||Biomet Sports Medicine, Llc||Method and apparatus for fixation of an ACL graft|
|US8979894||13 Nov 2013||17 Mar 2015||Covidien Lp||Coated looped suture|
|US8998932||18 Jun 2012||7 Apr 2015||Abbott Laboratories||Systems for anchoring a medical device in a body lumen|
|US8998949||16 Aug 2006||7 Apr 2015||Biomet Sports Medicine, Llc||Soft tissue conduit device|
|US9005287||4 Nov 2013||14 Apr 2015||Biomet Sports Medicine, Llc||Method for bone reattachment|
|US9017381 *||10 Apr 2007||28 Apr 2015||Biomet Sports Medicine, Llc||Adjustable knotless loops|
|US9044225||12 Jan 2012||2 Jun 2015||Ethicon, Inc.||Composite self-retaining sutures and method|
|US9078644||8 Mar 2010||14 Jul 2015||Biomet Sports Medicine, Llc||Fracture fixation device|
|US9078649||16 Jul 2012||14 Jul 2015||Boston Scientific Scimed, Inc.||Suturing instrument|
|US9125647||20 Feb 2009||8 Sep 2015||Ethicon, Inc.||Method and apparatus for elevating retainers on self-retaining sutures|
|US9149267||10 Nov 2011||6 Oct 2015||Biomet Sports Medicine, Llc||Method and apparatus for coupling soft tissue to a bone|
|US9155535||28 Jan 2013||13 Oct 2015||Abbott Laboratories||Device and method for suturing intracardiac defects|
|US9173651||22 Oct 2012||3 Nov 2015||Biomet Sports Medicine, Llc||Soft tissue repair device and associated methods|
|US9216078||8 May 2013||22 Dec 2015||Biomet Sports Medicine, Llc||Method and apparatus for tibial fixation of an ACL graft|
|US9237889||13 Dec 2012||19 Jan 2016||Northwestern University||Suture|
|US9241707||31 May 2012||26 Jan 2016||Abbott Cardiovascular Systems, Inc.||Systems, methods, and devices for closing holes in body lumens|
|US9248580||22 Dec 2011||2 Feb 2016||Ethicon, Inc.||Barb configurations for barbed sutures|
|US9259217||3 Jan 2012||16 Feb 2016||Biomet Manufacturing, Llc||Suture Button|
|US9271713||14 Nov 2011||1 Mar 2016||Biomet Sports Medicine, Llc||Method and apparatus for tensioning a suture|
|US9282960||25 Apr 2013||15 Mar 2016||Abbott Laboratories||Articulating suturing device and method|
|US9301747||3 Mar 2014||5 Apr 2016||Abbott Laboratories||Articulating suturing device and method|
|US9314241||1 Feb 2013||19 Apr 2016||Biomet Sports Medicine, Llc||Apparatus for coupling soft tissue to a bone|
|US9357991||19 Dec 2012||7 Jun 2016||Biomet Sports Medicine, Llc||Method and apparatus for stitching tendons|
|US9357992||1 Feb 2013||7 Jun 2016||Biomet Sports Medicine, Llc||Method for coupling soft tissue to a bone|
|US9370350||8 Mar 2013||21 Jun 2016||Biomet Sports Medicine, Llc||Apparatus for coupling soft tissue to a bone|
|US9370353||8 Mar 2013||21 Jun 2016||Abbott Cardiovascular Systems, Inc.||Suturing devices and methods|
|US9375211||2 Dec 2013||28 Jun 2016||Abbott Laboratories||Suturing device with split arm and method of suturing tissue|
|US9381013||8 Mar 2013||5 Jul 2016||Biomet Sports Medicine, Llc||Method for coupling soft tissue to a bone|
|US9402621||24 Sep 2012||2 Aug 2016||Biomet Sports Medicine, LLC.||Method for tissue fixation|
|US9414833||14 Feb 2013||16 Aug 2016||Biomet Sports Medicine, Llc||Soft tissue repair assembly and associated method|
|US9414925||5 Aug 2013||16 Aug 2016||Biomet Manufacturing, Llc||Method of implanting a knee prosthesis assembly with a ligament link|
|US9433407||6 Jan 2016||6 Sep 2016||Biomet Manufacturing, Llc||Method of implanting a bone fixation assembly|
|US9445827||12 Aug 2013||20 Sep 2016||Biomet Sports Medicine, Llc||Method and apparatus for intraosseous membrane reconstruction|
|US9456811||23 Aug 2006||4 Oct 2016||Abbott Vascular Inc.||Vascular closure methods and apparatuses|
|US9468433||3 Nov 2011||18 Oct 2016||Biomet Sports Medicine, Llc||Method and apparatus for forming a self-locking adjustable loop|
|US20030074023 *||30 Sep 2002||17 Apr 2003||Andrew Kaplan||Suture method|
|US20030149439 *||7 Feb 2002||7 Aug 2003||Scimed Life Systems, Inc.||Surgical clip with a self-releasing fluid reservoir|
|US20030233107 *||12 Jun 2003||18 Dec 2003||Scimed Life Systems, Inc.||Suturing instrument with multi-load cartridge|
|US20030233108 *||12 Jun 2003||18 Dec 2003||Scimed Life Systems, Inc.||Endoscopic suture instrument|
|US20040059350 *||12 Sep 2003||25 Mar 2004||Scimed Life Systems, Inc.||Suturing instruments and methods of use|
|US20040060409 *||30 Sep 2002||1 Apr 2004||Leung Jeffrey C.||Barb configurations for barbed sutures|
|US20040093028 *||21 Apr 2003||13 May 2004||Ruff Gregory L.||Barbed bodily tissue connector|
|US20040111149 *||6 Aug 2003||10 Jun 2004||Stinson Jonathan S.||Bioabsorbable marker having radiopaque constituents|
|US20050033367 *||9 Aug 2004||10 Feb 2005||Leung Jeffrey C.||Suture anchor and method|
|US20050070959 *||30 Sep 2003||31 Mar 2005||Frank Richard Cichocki||Fluid emitting suture needle|
|US20050125034 *||4 Dec 2003||9 Jun 2005||Cichocki Frank R.Jr.||Active suture for the delivery of therapeutic fluids|
|US20050125035 *||2 Aug 2004||9 Jun 2005||Cichocki Frank R.Jr.||Active suture for the delivery of therapeutic fluids|
|US20050155610 *||27 Feb 2004||21 Jul 2005||Mitsuo Satake||Bioabsorbable vasoocclusive coil|
|US20050184424 *||10 Feb 2005||25 Aug 2005||Ferguson Patrick J.||Brachytherapy spacer|
|US20050228444 *||25 Feb 2005||13 Oct 2005||Boston Scientific Scimed, Inc. (Formerly Known As Scimed Life Systems, Inc.)||Surgical clip with a self-releasing fluid reservoir|
|US20050250973 *||29 Dec 2004||10 Nov 2005||Ferguson Patrick J||Hollow bioabsorbable elements for positioning material in living tissue|
|US20050256535 *||25 Jun 2003||17 Nov 2005||Sergio Capurro||Atraumatic two-tipped surgical needle|
|US20050277985 *||14 Jun 2004||15 Dec 2005||Wert Zachary D||High-strength suture|
|US20060004385 *||6 Sep 2005||5 Jan 2006||Gellman Barry N||Endoscopic suturing instruments|
|US20060004440 *||29 Oct 2004||5 Jan 2006||Stinson Jonathan S||Bioabsorbable marker having radiopaque constituents and method of using the same|
|US20060030883 *||27 Sep 2005||9 Feb 2006||Cichocki Frank R Jr||Device for creating and maintaining infusion passages in tissue|
|US20060047309 *||25 Aug 2004||2 Mar 2006||Cichocki Frank R Jr||Metal injection molded suture needles|
|US20060135994 *||27 Feb 2006||22 Jun 2006||Gregory Ruff||Barbed Suture in Combination with Surgical Needle|
|US20060135995 *||27 Feb 2006||22 Jun 2006||Ruff Gregory L||Barbed Suture in Combination with Surgical Needle|
|US20060195121 *||13 Mar 2006||31 Aug 2006||Boston Scientific Scimed, Inc.||Placing sutures|
|US20070088372 *||13 Dec 2006||19 Apr 2007||Boston Scientific Scimed, Inc.||Suturing instrument with deflectable head|
|US20070187861 *||27 Mar 2007||16 Aug 2007||Quill Medical, Inc.||Method of Forming Barbs on a Suture and Apparatus for Performing Same|
|US20070208355 *||10 May 2007||6 Sep 2007||Ruff Gregory L||Barbed tissue connector|
|US20070208377 *||11 May 2007||6 Sep 2007||Andrew Kaplan||Suture Method|
|US20080221617 *||2 Jan 2008||11 Sep 2008||Quill Medical, Inc.||Barbed tissue connector|
|US20080312689 *||22 Aug 2008||18 Dec 2008||Biomet Sports Medicine, Llc||Method and apparatus for coupling sof tissue to a bone|
|US20090048614 *||17 Aug 2007||19 Feb 2009||Ralph Gudladt||Vessel-loop and method of making same|
|US20090200487 *||13 Jan 2009||13 Aug 2009||Tyco Healthcare Group Lp||Methods of Altering Surgical Fiber|
|US20090259125 *||16 Jun 2009||15 Oct 2009||Boston Scientific Scimed, Inc.||Bioabsorbable Marker Having Radiopaque Constituents And Method of Using the Same|
|US20090259251 *||23 Mar 2009||15 Oct 2009||Cohen Matthew D||Loop suture|
|US20090312772 *||17 Dec 2009||Boston Scientific Scimed, Inc.||Suturing instrument and method for uterine preservation|
|US20120130406 *||10 May 2010||24 May 2012||Itv Denkendorf Produktservice Gmbh||Coated thread with anchoring structures for anchoring in biological tissues|
|USRE45426||31 Jul 2001||17 Mar 2015||Ethicon, Inc.||Surgical methods using one-way suture|
|CN100466994C||27 Mar 2007||11 Mar 2009||西安交通大学||Surgical suture against cutting|
|CN103393442A *||6 Aug 2013||20 Nov 2013||杨蓊勃||Operation relaxation suture silica gel pipeline|
|CN103393442B *||6 Aug 2013||4 Nov 2015||杨蓊勃||手术减张缝合硅胶管线|
|EP1987796A2||30 Apr 2008||5 Nov 2008||Tyco Healthcare Group, LP||Packaged medical device|
|EP2486886A2||30 Apr 2008||15 Aug 2012||Tyco Healthcare Group, LP||Packaged Medical Device|
|EP2486887A2||30 Apr 2008||15 Aug 2012||Tyco Healthcare Group, LP||Packaged medical device|
|WO2004030704A2 *||29 Sep 2003||15 Apr 2004||Quill Medical, Inc.||Barb configurations for barbed sutures|
|WO2004030704A3 *||29 Sep 2003||29 Jul 2004||Quill Medical Inc||Barb configurations for barbed sutures|
|WO2005055836A2||3 Dec 2004||23 Jun 2005||Ethicon, Inc.||Active suture for the delivery of therapeutic fluids|
|U.S. Classification||606/225, 29/447, 223/102, 606/229, 606/231, 29/DIG.350|
|International Classification||A61B17/06, A61B19/00|
|Cooperative Classification||A61B2017/06028, A61B2017/06185, A61B19/54, Y10S29/035, A61B17/06004|