Articulating suturing device and method

A - Human Necessities – 61 – B

Patent

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Details

A61B 17/00 (2006.01) A61B 17/04 (2006.01)

Patent

CA 2515106

Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot (24) near a distal end of a shaft (12) is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs (52), and needles (38) are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The suture (34) may be provided with a bight (80) between first and second ends, the bight including one or more loops prearranged to define a pre-tied knot when one or more ends of the suture past therethrough.

Dispositifs, systèmes et méthodes de suture de lumières permettant de suturer des points de ponction vasculaires situés à l'extrémité distale d'un conduit tissulaire percutané. Un sabot articulé de forme allongée (24) situé près de l'extrémité distale d'une tige (12) est inséré au point de pénétration et actionné de manière à le faire avancer le long de l'axe de la lumière. Le sabot porte des manchons de suture (52). Des aiguilles (38) sont amenées depuis la tige à travers la paroi du vaisseau à l'extérieur du point de pénétration et s'engagent dans les manchons après que le sabot ait été amené près de la surface endothéliale du vaisseau sanguin. La suture (34) peut présenter entre les première et seconde extrémités un enroulement (80) qui comprend une ou plusieurs boucles préformées définissant un noeud déjà lié lorsqu'une ou plusieurs extrémités de la suture le traversent.

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