Suture, Ligature, Elastic Band Or Clip Applier Patents (Class 606/139)
  • Patent number: 10285676
    Abstract: An articulating surgical instrument includes a case having a trigger handle, a sheath coupled to the case, an intermediate connector coupled to the sheath, an end effector removably attachable to the intermediate connector, a set of cables that control position of the intermediate connector, at least two motors coupled to the cables, and a user control module configured to control position of the intermediate connector and the end effector. The instrument further includes a pushrod disposed within the sheath and within the intermediate connector that is configured for axial motion relative to the sheath and the intermediate connector and rotational motion within the sheath and the intermediate connector. The pushrod is coupled to the trigger handle and removably coupled to the end effector, so that rotational motion of the pushrod effectuates rotation of the end effector and axial motion of the pushrod is controllable by the trigger handle.
    Type: Grant
    Filed: March 30, 2017
    Date of Patent: May 14, 2019
    Assignee: Multi Scopic Instruments, LLC
    Inventor: Gerry Berkelaar
  • Patent number: 10285688
    Abstract: Surgical access devices having wound closure features incorporated as part of the device are provided. The devices allow suture to be inserted directly into the device and operated to close an opening through which the device is disposed as or shortly after the device is removed from the surgical site. Further, the wound closure features allow for various orientations of wound closure to be achieved by adjusting an angle at which the suture enters tissue surrounding the opening to be closed. Some of the wound closure features provided for include openings formed in both the housing and cannula of the surgical access device, multiple openings formed in one or both the housing and cannula, locations of the openings being adjustable or otherwise movable, and various flexible seals. Other features, as well as methods of closing an opening through which the surgical access device was disposed, are also provided.
    Type: Grant
    Filed: September 23, 2016
    Date of Patent: May 14, 2019
    Assignee: Ethicon LLC
    Inventors: Christopher J. Hess, Frederick E. Shelton, IV, Jerome R. Morgan, Ryan A. Bledsoe, Douglas E. Withers, Craig T. Gates
  • Patent number: 10285743
    Abstract: A surgical implant for fixing a soft tissue to a bone comprising a staple and a plate. The staple and the plate are positionable on an instrument in such a way that the plate may be manipulated with the instrument to hold the soft tissue against the bone and in such a way that the staple is fixable to the bone with the plate positioned between a bridge of the staple and the soft tissue when legs of the staple are driven through the plate and into the bone.
    Type: Grant
    Filed: October 18, 2017
    Date of Patent: May 14, 2019
    Assignee: CC Innovation
    Inventors: Nicolas Bouduban, Beat Lechmann, Patrick Burki, Christian Fink
  • Patent number: 10278689
    Abstract: The present disclosure describes a suture passer device that includes a handle, a shaft extending from the handle, and a suturing head extending from the shaft and configured to engage tissue. According to one aspect of the present disclosure, the suture passer device includes a tissue reinforcement member holder configured to retain a tissue reinforcement member relative to the suturing head. According to another aspect of the present disclosure, the suture passer device includes a suture carrier secured to the handle and extending through the shaft, and the suturing head includes a first jaw and a second jaw. Methods of using a suture passer device to pass a suture through tissue and to attach soft tissue to bone are also described.
    Type: Grant
    Filed: December 20, 2013
    Date of Patent: May 7, 2019
    Assignee: Biomet Manufacturing, LLC
    Inventors: Christopher Palese, Kevin T. Stone
  • Patent number: 10278690
    Abstract: A suture passer comprising: a shaft having an axis; a first jaw mounted to the shaft in alignment with the axis, the first jaw being configured to releasably support a length of suture thereon; a second jaw movably mounted to the shaft; and a needle movably mounted to the shaft, the needle having a hook and being configured to reciprocate in alignment with the axis so that the hook can selectively pass by the second jaw and engage suture releasably supported on the first jaw; wherein the first jaw comprises a spring for selectively binding the suture to the first jaw.
    Type: Grant
    Filed: February 19, 2016
    Date of Patent: May 7, 2019
    Assignee: Pivot Medical, Inc.
    Inventors: David Skinlo, Scott Heneveld, Thomas Weisel, Roger Pisarnwongs
  • Patent number: 10258322
    Abstract: A device is disclosed that can pierce and hold tissue and then pass suture through tissue. The device can have a shuttle that can removably attach to a suture and jaws that can be rotatably opened and closed with respect to each other. A method for using the device to repeatedly pass the suture through the tissue without removing the suture or device from the target site is also disclosed.
    Type: Grant
    Filed: April 17, 2014
    Date of Patent: April 16, 2019
    Assignee: Maruho Medical, Inc.
    Inventors: Gary S. Fanton, John F. Krumme, Scott H. Heneveld, Matthew B. Newell, Luke W. Clauson
  • Patent number: 10258324
    Abstract: A surgical system includes a cannula and a guide member. The cannula is configured for positioning within an opening in tissue. The cannula includes a base and an elongated tubular member extending distally from the base. The elongated tubular member includes an annular wall defining a longitudinal passageway and defines at least one slot extending through the annular wall. The guide member includes a guide housing configured for releasably engaging the guide member with the cannula and an elongated guide shaft configured for insertion into the elongated tubular member of the cannula. The guide member defines at least one lumen extending therethrough and is configured such that, upon engagement of the guide member with the cannula, the at least one lumen is aligned with the at least one slot of the cannula to define a guide passageway through the guide member and cannula.
    Type: Grant
    Filed: July 29, 2014
    Date of Patent: April 16, 2019
    Assignee: Covidien LP
    Inventors: Scott J. Prior, Jaroslaw T. Malkowski, John D. Hendershot, III, Kenneth W. Horton, Christopher A. Tokarz, Gregory F. Tebbe, Danny R. Berry
  • Patent number: 10260135
    Abstract: A method for manufacturing a surgical needle produced from a wire made of a hyperelastic or superelastic alloy including a Ni—Ti alloy base includes: carrying out a cold shaping or a shaping at ambient temperature of the curved profile of the needle in an appropriate support; subjecting the needle in its support to a thermal treatment in order to memorize the imposed curved-profile geometry; cleaning the needle via a chemical stripping of the electrochemical or electrolytic polishing type or via a chemical solution in order to remove the layer of oxide deposited on the needle during its thermal treatment.
    Type: Grant
    Filed: March 9, 2016
    Date of Patent: April 16, 2019
    Assignee: SOPRANE
    Inventor: Thierry Loubens
  • Patent number: 10251642
    Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.
    Type: Grant
    Filed: August 19, 2016
    Date of Patent: April 9, 2019
    Assignee: C.R. Bard, Inc.
    Inventors: Kevin J. Ranucci, Nathan Stewart Cauldwell, Augustus Felix
  • Patent number: 10251666
    Abstract: The present disclosure provides systems and methods for cutting mucosal tissue. In particular, the present disclosure provides an endoscopic hood with an integrated wire for single-step tissue cutting. The endoscopic hood is particularly useful for performing repeated cutting, for example EMR resections, without the need for assistance by a nurse or medical technician.
    Type: Grant
    Filed: May 19, 2016
    Date of Patent: April 9, 2019
    Assignee: BOSTON SCIENTIFIC SCIMED, INC.
    Inventors: Jeff Gray, Samuel Raybin, Kevin Scott Gell, Paul Smith
  • Patent number: 10238493
    Abstract: A system for implanting a repair device onto a native valve of a natural heart to repairing the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a gripper control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to be attached to a native valve of a patient. The valve repair device includes a pair of paddles, and at least four gripping members. The paddles are movable between an open position and a closed position, and the paddles and the at least four gripping members are configured to attach to the native valve of a patient. The gripper control mechanism is configured to independently move each of the at least four gripping members.
    Type: Grant
    Filed: January 9, 2018
    Date of Patent: March 26, 2019
    Assignee: Edwards Lifesciences Corporation
    Inventors: Asher L. Metchik, Gregory Scott Tyler, II, Matthew T. Winston, Sergio Delgado, Lauren R. Freschauf, Eric R. Dixon, Alexander J. Siegel
  • Patent number: 10231728
    Abstract: A tissue fastening device is provided. The tissue fastening device may include an elongate member having fastener guides extending between a working end and a control end and a firing aperture disposed on the working end, an arcuate needle disposed within the firing aperture of the working end and rotatable between a retracted position and an extended position, the arcuate needle including an antegrade recess configured to engagably receive an end of a fastener during advancement of the arcuate needle, and a drive mechanism operatively coupled to the arcuate needle and configured to, upon actuation, advance the arcuate needle in a forward rotation to engage the end of the fastener to be installed and push the end of the fastener through one of a tissue and a prosthetic material into a helical configuration.
    Type: Grant
    Filed: September 12, 2016
    Date of Patent: March 19, 2019
    Assignee: Surgimatix, Inc.
    Inventors: Wai N. Chin, Gary M. Kobylewski, Jafar S. Hasan
  • Patent number: 10231824
    Abstract: Systems and tools are provided for anchoring a ligament or tendon to bone. In one embodiment, a sheath is provided having a first sidewall with proximal and distal ends and a second sidewall with proximal and distal ends. The distal ends of the first and second sidewalls can be coupled to one another by a hinge pin such that the first and second sidewalls pivot relative to one another about the hinge pin. A sheath inserter tool is also provided and it can be configured to couple to the sheath and to advance the expandable sheath, with a tendon disposed therearound, into a bone hole. An expander is also provided for expanding the sheath. In this way, a tendon or ligament is delivered into the bone hole and the sheath and tendon are locked within the bone hole.
    Type: Grant
    Filed: April 8, 2016
    Date of Patent: March 19, 2019
    Assignee: MEDOS INTERNATIONAL SÁRL
    Inventors: Justin M. Piccirillo, Gerome Miller, Sherri Sa
  • Patent number: 10226273
    Abstract: A surgical system comprises an end effector including an ultrasonic blade and a capturing arm, wherein the capturing arm is movable to capture tissue against the ultrasonic blade. In addition, the surgical system includes a transducer configured to generate ultrasonic energy for transmission to the ultrasonic blade and a clamping member removably coupled to the end effector, the clamping member configured to clamp the captured tissue.
    Type: Grant
    Filed: March 14, 2013
    Date of Patent: March 12, 2019
    Assignee: Ethicon LLC
    Inventors: Jeffrey D. Messerly, Daniel W. Price, Donna L. Korvick, Foster B. Stulen
  • Patent number: 10219885
    Abstract: The invention provides, in various embodiments, aspects of soft tissue anchors, adjustable length/tension slings, interconnects between slings and soft tissue anchors, delivery devices and systems for implanting supportive slings, and methods relating to anchoring, 5 adjusting and implanting supportive slings.
    Type: Grant
    Filed: December 23, 2013
    Date of Patent: March 5, 2019
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: George Mamo, Michael F. Weiser
  • Patent number: 10219804
    Abstract: Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue.
    Type: Grant
    Filed: October 16, 2015
    Date of Patent: March 5, 2019
    Assignee: CoNextions, Inc.
    Inventors: Richard J. Linder, Erik N. Kubiak, Roy M. Taylor, Zackery K. Evans, Tyler J. Cole, Scott D. Miles, Kent F. Beck
  • Patent number: 10220214
    Abstract: An apparatus for delivering an electrical microstimulator is provided. The apparatus comprises a handle having a handle body. An elongate delivery rod includes a delivery sheath for reciprocal movement with respect to the handle body. The delivery rod extends longitudinally from the handle body. A microstimulator docking feature is provided for selectively maintaining the electrical microstimulator on the delivery rod. The microstimulator docking feature includes at least one arm which engages the electrical microstimulator. An anchor tester is associated with the handle body for selectively sensing motion of the electrical microstimulator under influence of an applied predetermined longitudinal testing force. A method of delivering an electrical microstimulator to a target implant site of a patient's body is also provided.
    Type: Grant
    Filed: April 3, 2018
    Date of Patent: March 5, 2019
    Assignee: VERESSA MEDICAL, INC.
    Inventors: Benjamin A. Tranchina, Maekele Gebrekidan, Robert K. Deckman, Jeffrey Richard Held
  • Patent number: 10206680
    Abstract: Devices and methods are provided for guiding surgical fasteners. In general, the devices and methods can facilitate guidance of fasteners during deployment of the fasteners into tissue. In general, the surgical device can include one or more guidance features configured to facilitate guidance of the fasteners during ejection of the fasteners from the cartridge. The one or more guidance features can be configured to reduce lateral movement of the fasteners during deployment thereof. In an exemplary embodiment, each of the one or more guidance features can be configured to support a fastener on three sides thereof during deployment of the fastener. The one or more guidance features can be formed on the cartridge, e.g., formed on a surface thereof or formed on a sled disposed in the cartridge, and/or can be formed on a jaw that seats the cartridge.
    Type: Grant
    Filed: November 28, 2017
    Date of Patent: February 19, 2019
    Assignee: Ethicon LLC
    Inventors: Emily A. Schellin, Jeffrey S. Swayze, Jerome R. Morgan, Frederick E. Shelton, IV, Gary W. Knight
  • Patent number: 10201346
    Abstract: A guide member configured for guiding a suture passer through a cannula and tissue surrounding the cannula to facilitate closure of an opening in tissue. The guide member includes a guide housing and an elongated guide shaft. The guide housing is configured for releasably engaging the guide member with the cannula and defines an entry aperture. The elongated guide shaft extends distally from the guide housing and defines an annular exterior surface. An exit aperture is defined through the annular exterior surface. The guide member defines a lumen extending from the entry aperture, through the guide housing and the elongated guide shaft, to the exit aperture. The entry aperture, lumen, and exit aperture cooperating to define a passageway extending through the guide member.
    Type: Grant
    Filed: July 29, 2014
    Date of Patent: February 12, 2019
    Assignee: Covidien LP
    Inventors: Jaroslaw T. Malkowski, Scott J. Prior, John D. Hendershot, III, Kenneth W. Horton, Christopher A. Tokarz, Danny R. Berry, Wayne A. Johnson
  • Patent number: 10194920
    Abstract: The present invention provides a circular bone tunneling device, comprising: a hollow elongate body comprising a hollow elongate body head, said hollow elongate body head defining a rigid circular arc, comprising a surgical needle; an extendable and retractable support element, reconfigurable from an extended configuration to a retracted configuration; said support element, in said extended configuration, adapted to be located along said path formed by said rigid circular arc; said support element and said hollow elongate body head are adapted to grasp said bone from at least two points along the circumference of said bone; a stabilizing element.
    Type: Grant
    Filed: October 16, 2017
    Date of Patent: February 5, 2019
    Assignee: MINIVASIVE LTD.
    Inventors: Mordehai Sholev, Gilad Lavi, Raphael Meloul, Ronen Raz
  • Patent number: 10194905
    Abstract: Devices, systems, and methods for implanting expandable prostheses in the body lumens rely on stapling or anchoring the prostheses with separately introduced fasteners. The prostheses may be self-expanding or balloon expandable, and may include a single lumen or more than one lumen. After initial placement, a stapling system is introduced within the expanded prosthesis to deploy a plurality of fasteners to at least one prosthesis end. The stapling system may apply a force to the prosthesis to modify the shape of the prosthesis to conform to the shape of the vessel wall. The stapling system can be deflected in one or more distinct steerable segments. A lumen extension or lumens may be coupled to the prosthesis to extend the reach of the prosthesis within the implantation site. Fasteners may also be applied to the lumen extensions.
    Type: Grant
    Filed: August 24, 2016
    Date of Patent: February 5, 2019
    Assignee: MEDTRONIC VASCULAR, INC.
    Inventors: Lee Bolduc, Jimmy Jen
  • Patent number: 10194898
    Abstract: Suture anchors are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device.
    Type: Grant
    Filed: August 10, 2015
    Date of Patent: February 5, 2019
    Assignee: VentureMD Innovations, LLC
    Inventors: Kwan-Ho Chan, James Murphy, T. Wade Fallin, Patrick Michel White
  • Patent number: 10188382
    Abstract: Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.
    Type: Grant
    Filed: February 1, 2016
    Date of Patent: January 29, 2019
    Assignee: Ceterix Orthopaedics, Inc.
    Inventors: Michael Murillo, Christopher P. Bender, Mark Y. Hirotsuka, Michael J. Hendricksen, Justin D. Saliman, John G. McCutcheon
  • Patent number: 10188383
    Abstract: Disclosed herein are suture clip delivery devices that can be loaded with several flat, disk-shaped suture clips and can deploy the suture clips one after another onto respective sutures without reloading the device with additional suture clips. An exemplary device includes a handle portion with an actuation mechanism that is coupled to a shaft portion that holds and deploys the suture clips. The shaft portion includes a mandrel on which the suture clips are mounted and a retainer that restricts the suture clips from moving proximally when the actuation mechanism pulls the mandrel proximally, which causes a distal-most suture clip to slide off the mandrel and be deployed onto one or more suture. The mandrel and remaining suture clips can them move distally to prepare to deploy the next suture clip.
    Type: Grant
    Filed: December 23, 2015
    Date of Patent: January 29, 2019
    Assignee: Edwards Lifesciences Corporation
    Inventors: Manouchehr A. Miraki, Bryan A. Janish, Kevin K. Dang
  • Patent number: 10182812
    Abstract: The needle holder includes a primary hollow shaft, a secondary hollow shaft attached to the primary hollow shaft in a generally “T” configuration, a pair of extendible jaws rotatably positioned at a distal end of the primary shaft, a trigger mechanism mounted on the primary shaft for selectively extending the jaws, a first rotation member in the primary shaft, a second rotation member in the secondary shaft, a driven gear attached to the first rotation member, and a drive gear attached to the second rotation member and configured to selectively engage the first gear. The jaws are selectively extendible and rotatable.
    Type: Grant
    Filed: August 3, 2018
    Date of Patent: January 22, 2019
    Inventor: Aqeel J. A. GH. H. Ashraf
  • Patent number: 10182908
    Abstract: The present invention provides an intracardiac device suitable for minimally-invasive delivery, wherein said device comprises a device body and one more stabilizing elements attached to said device body. The stabilizing elements may be selected from the group consisting of: stabilizing wings having at least one portion with a thickness greater than that of the device body, wings comprising one or more auxiliary support arms, wings having a metal wire coil wound around them, wings having a leaf spring attached thereto, polymer-coated stabilizing wings, and mechanical stabilization elements comprising a rotatable jaw-like structure.
    Type: Grant
    Filed: November 27, 2014
    Date of Patent: January 22, 2019
    Assignee: MVALVE TECHNOLOGIES LTD.
    Inventors: Amit Tubishevitz, Shay Dubi, Vadim Bernshtein, Maurice Buchbinder
  • Patent number: 10159570
    Abstract: A system for implanting a repair device onto a native valve of a natural heart to repairing the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a gripper control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to be attached to a native valve of a patient. The valve repair device has a pair of paddles, and first and second gripping members. The paddles are movable between an open position and a closed position. The paddles and the first and second gripping members are configured to attach to the native valve of the patient. The gripper control mechanisms each include a suture and a wire having a loop at a distal end. The suture extends from the surgical delivery instrument and through the loop of the wire. The suture is removably attached to the gripping member.
    Type: Grant
    Filed: January 9, 2018
    Date of Patent: December 25, 2018
    Assignee: Edwards Lifesciences Corporation
    Inventors: Asher L. Metchik, Gregory Scott Tyler, II, Matthew T. Winston, Sergio Delgado, Lauren R. Freschauf, Eric R. Dixon, Alexander J. Siegel
  • Patent number: 10159477
    Abstract: The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member may include a body having a proximal end portion and a flat distal end portion. A method of tissue repair and other anchor assemblies are also disclosed.
    Type: Grant
    Filed: April 25, 2016
    Date of Patent: December 25, 2018
    Assignee: Smith & Nephew, Inc.
    Inventors: Richard M. Lunn, David A. Paulk, Thomas C. May, Steven W. Astorino
  • Patent number: 10154839
    Abstract: A port closure device includes a pair of jaws that may move repeatably between open and closed positions and repeatably pass a needle therebetween. The jaws are generally perpendicular to a longitudinal axis of the device in the closed position and generally parallel to the longitudinal axis in the open position. The device further includes a jaw control rod for controlling movement of the jaws and a needle control rod for controlling the passing of the needle between the two jaws.
    Type: Grant
    Filed: January 8, 2016
    Date of Patent: December 18, 2018
    Assignee: Walter J. Chlysta M.D., Inc.
    Inventor: Walter J. Chlysta
  • Patent number: 10149694
    Abstract: Systems and method are described for counterbalancing the force required to deform a flexure joint. The system includes an elastically deformable flexure joint, a control joint, and an energy balance system. The control joint is mechanically linked to the flexure joint such that movement of the control joint causes a corresponding deformation of the flexure joint. The energy balance system provides a spring force to aid movement of the control joint and to overcome an elastic force required to deform the flexure joint.
    Type: Grant
    Filed: September 12, 2014
    Date of Patent: December 11, 2018
    Assignee: Vanderbilt University
    Inventors: Ray A. Lathrop, Robert J. Webster
  • Patent number: 10136885
    Abstract: A vascular closure device includes an anchor, a suture carrying portion, and a plurality of needles. The anchor is positionable through a vessel puncture in a vessel wall and operable between expanded and contracted positions. The suture carrying portion is positioned distal of the anchor and configured to carry at least one suture. The plurality of needles are operable between an advanced position extending through the vessel wall adjacent to the vessel puncture to connect to the at least one suture, and a retracted position in which the plurality of needles position the at least one suture through the vessel wall. At least one of the plurality of needles extends through an aperture in the anchor when in the advanced position.
    Type: Grant
    Filed: March 11, 2013
    Date of Patent: November 27, 2018
    Assignee: ST. JUDE MEDICAL PUERTO RICO LLC
    Inventor: Zachary J. Tegels
  • Patent number: 10130369
    Abstract: Described herein are tissue closure devices and methods for ligating a target tissue, such as the left atrial appendage. The tissue closure device may have an elongate body, a snare at least partially housed within the elongate body, a suture at least partially housed within the elongate body, and a tightening element coupled to the suture. The suture may have a suture loop, and the tightening element may be configured to decrease the size of the suture loop when the area of a tissue within the suture loop decreases.
    Type: Grant
    Filed: March 24, 2016
    Date of Patent: November 20, 2018
    Assignee: SentreHEART, Inc.
    Inventors: Gregory W. Fung, Alan L. Bradley, Russell Pong, Robert L. Clark, III, Arnold M. Escano
  • Patent number: 10130464
    Abstract: Embodiments of methods, apparatus, and systems used to deliver a prosthetic heart valve to a deficient valve. In one embodiment, for instance, a support member is positioned to at least partially surround the native leaflets of a valve. A locking member is used to couple both ends of the support member, forming a support band. An expandable prosthetic heart valve is delivered into the native heart valve and expanded while the expandable prosthetic valve is at least partially within the support band, thereby causing one or more of the native leaflets of the native heart valve to be frictionally secured between the support band and the expanded prosthetic heart valve.
    Type: Grant
    Filed: May 25, 2016
    Date of Patent: November 20, 2018
    Assignee: Edwards Lifesciences Corporation
    Inventors: Oded Meiri, Tamir S. Levi, Ofir Witzman
  • Patent number: 10130475
    Abstract: A system for implanting a repair device onto a native valve of a natural heart to repair the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a paddle control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to attach to a native valve of a patient. The valve repair device includes a first paddle, a second paddle, and a pair of gripping members. The first and second paddles are movable between an open position and a closed position. The paddles and the gripping members are configured to attach to the native valve of the patient. The paddle control mechanism is configured to move the first and second paddles independently of each other.
    Type: Grant
    Filed: January 9, 2018
    Date of Patent: November 20, 2018
    Assignee: Edwards Lifesciences Corporation
    Inventors: Asher L. Metchik, Gregory Scott Tyler, II, Matthew T. Winston, Sergio Delgado, Lauren R. Freschauf, Eric R. Dixon, Alexander J. Siegel
  • Patent number: 10123683
    Abstract: A torque-transmitting, variably-flexible device, comprising a hollow body having a proximal end, a distal end and a given length, a torque-transmitting element that extends substantially entirely over the given length of the hollow body, a steering element that steers the distal end of the hollow body, the steering element being comprised of steering tendons disposed within the hollow body, and stiffening tendons disposed within the hollow body to selectively maintain the hollow body in a relatively stiff condition, wherein the stiffening tendons are unassociated with the steering element of the device.
    Type: Grant
    Filed: August 27, 2015
    Date of Patent: November 13, 2018
    Assignee: Syntheon, LLC
    Inventors: Kevin W. Smith, Derek Dee Deville, Korey Kline, Matthew A. Palmer
  • Patent number: 10117733
    Abstract: Implant delivery systems are disclosed. In general overview, an exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in suprapubic, prepubic, transvaginal, trans-obturator and other approaches are also disclosed.
    Type: Grant
    Filed: October 5, 2015
    Date of Patent: November 6, 2018
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Michael S. H. Chu, Alfred P. Intoccia, Barry N. Gellman, Joseph John Raneri, Michael Frank Weiser, Kenneth J. Daignault
  • Patent number: 10117659
    Abstract: A recanalization catheter for facilitating re-entry into a lumen of a blood vessel from a subintimal space. The recanalization catheter includes first and second mechanically actuatable wings positioned at a distal region of the elongate shaft of the catheter that are actuatable between a retracted position and an expanded position. In the retracted position the mechanically actuatable wings are positioned in first and second elongate channels defined in the elongate shaft, and in the expanded position the mechanically actuatable wings extend outward from the first and second elongate channels. The actuatable wings extend in an arcuate path away from the elongate shaft in the expanded position to be positionable in a circumferential orientation within a subintimal space formed in a vessel wall to automatically orient a lateral port of the elongate shaft toward the true lumen.
    Type: Grant
    Filed: August 29, 2016
    Date of Patent: November 6, 2018
    Assignee: BOSTON SCIENTIFIC SCIMED, INC.
    Inventors: Pu Zhou, Huisun Wang
  • Patent number: 10121391
    Abstract: A surgical training device is provided. The training device includes a practice model comprising a base with a plurality of eyelets connected to the outer surface of the base. The plurality of eyelets defines at least one predetermined pathway for practicing the passing of at least one needle and suture through the eyelets of the predetermined pathway. Various eyelets are described including angled, flexible, deflectable, interchangeable, retractable, rotatable and ones having apertures of various shapes and sizes. The predetermined pathway is marked with markings on the outer surface of base or with color-coded eyelets. Suture pathways define anatomical pathways as well as differing skill levels. The model provides a platform for practicing hand-to-hand transfer and depth perception among other skills required in laparoscopic procedures.
    Type: Grant
    Filed: September 26, 2013
    Date of Patent: November 6, 2018
    Assignee: Applied Medical Resources Corporation
    Inventors: Tracy Breslin, Nikolai Poulsen, Michael Palermo, Adam Hoke
  • Patent number: 10111655
    Abstract: An arthroscopic surgical device for tunneling through hard tissue including an arcuate tunneling needle driver and a bone engagement element, the arcuate needle driver and the bone engagement element being joined together to provide a joined needle driver and bone engagement element having at least two different operative orientations including an arthroscopic operative orientation wherein the joined arcuate needle driver and bone engagement element has a trans-incision insertion cross-sectional footprint and a tunneling operative orientation suitable for tunneling, wherein the joined arcuate needle driver and bone engagement element has a tunneling cross-sectional footprint which is substantially greater than the insertion cross-sectional footprint.
    Type: Grant
    Filed: August 1, 2017
    Date of Patent: October 30, 2018
    Assignee: MININVASIVE LTD.
    Inventors: Mordehai Sholev, Ronen Raz, Raphael Meloul
  • Patent number: 10105219
    Abstract: A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction and having an open distal end, a capture tool movable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to captured tissue of the heart valve leaflet to hold the captured tissue in a gathered configuration. The outer tube may have an inner surface and a lumen extending therethrough. The capture tool may be operable to capture tissue of the heart valve leaflet and to draw the captured tissue into the outer tube in the gathered configuration. The tissue securing component may be a suture having a looped portion. At least part of the looped portion may extend through a lumen of at least one support tube.
    Type: Grant
    Filed: March 1, 2013
    Date of Patent: October 23, 2018
    Assignee: St. Jude Medical, Cardiology Division, Inc.
    Inventor: Melinda K. Kovach
  • Patent number: 10105211
    Abstract: Apparatus and methods for forming pilot holes in bone and deploying a staple therein for fixing a sheet-like implant to the bone. A pilot hole forming trocar assembly including a trocar and a position retention sleeve can be included. The trocar can be releasably coupled to the position retention sleeve and slide in keyed arrangement within the sleeve when uncoupled. The trocar can include a distal portion having a retractable blade and a pair of pilot hole forming spikes extending distally from the trocar shaft. Once the pilot holes are formed, the position retention sleeve maintains the position relative to the pilot holes while the trocar is removed and a staple delivery device can be inserted in the lumen of the position retention sleeve to deploy a staple in the pilot holes.
    Type: Grant
    Filed: July 29, 2015
    Date of Patent: October 23, 2018
    Assignee: ROTATION MEDICAL, INC.
    Inventors: Charles L. Euteneuer, Thomas A. Westling, Nathaniel Z. Zenz-Olson, Michael Witzmann
  • Patent number: 10105132
    Abstract: Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).
    Type: Grant
    Filed: November 6, 2014
    Date of Patent: October 23, 2018
    Assignee: NeoTract, Inc.
    Inventors: Theodore Charles Lamson, Joshua Makower, Joseph Catanese, III, Jacqueline Nemey Welch, Amrish Jayprakash Walke, Claude Vidal, Russell J. Redmond, Michael Collinson
  • Patent number: 10098635
    Abstract: End effectors with redundant closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises an elongate shaft having a proximal end and a distal end, a tool body disposed at the distal end of the shaft, a jaw movable relative to the tool body between a clamped configuration and an open configuration, a first actuation mechanism coupled with the jaw and operable to vary the position of the jaw relative to the tool body between the clamped configuration and the open configuration, and a second actuation mechanism coupled with the jaw. The second actuation mechanism has a first configuration where the jaw is held in the clamped configuration and a second configuration where the position of the jaw relative to the tool body is unconstrained by the second actuation mechanism.
    Type: Grant
    Filed: December 28, 2015
    Date of Patent: October 16, 2018
    Assignee: Intuitive Surgical Operations, Inc.
    Inventor: William A. Burbank
  • Patent number: 10092243
    Abstract: A personal electronic device (PED)-endoscope image and diagnosis capture system is provided. The system includes a PED adapter having a magnification lens connection side and a PED connection side. A magnification lens is connectable with the lens connection side of the PED adapter. An eyepiece lens coupler is also provided and connects the magnification lens to the endoscope eyepiece. A PED is connected to the PED adapter and includes a processor, a memory and an image capture system with a PED lens. The PED adapter aligns the magnification lens with the PED lens. The processor is configured to activate the image capture system using a remote or voice-activated trigger signal and store captured images in the PED memory. Patient data and examination data can be associated with the images, and the images and data can be transferred from the PED to an electronic medical records system.
    Type: Grant
    Filed: October 23, 2013
    Date of Patent: October 9, 2018
    Assignee: The Trustees of the University of Pennsylvania
    Inventors: Natasha Mirza, Jason Brant
  • Patent number: 10085763
    Abstract: The present embodiments provide apparatus and methods for treating tissue by applying a force to the tissue. In one embodiment, the apparatus comprises a deployable segment having proximal and distal regions, a main body extending therebetween, and a loop member formed at the distal region of the deployable segment. A cannula having a bore is dimensioned to circumferentially surround at least a portion of the main body at a location proximal to the loop member, and a spring member is disposed between the cannula and the loop member. The proximal end of the spring member is affixed to the cannula, and the distal end of the spring member is movable to apply a compressive force to adjust the size of the opening of the loop member and compress tissue disposed within the opening of the loop member. In an alternative embodiment, the cannula is omitted, and a diameter of the loop member is configured to be reduced and increased any number of times before final deployment of the deployable segment.
    Type: Grant
    Filed: August 27, 2015
    Date of Patent: October 2, 2018
    Assignee: COOK MEDICAL TECHNOLOGIES LLC
    Inventors: Kenneth F. Binmoeller, Tyler E. McLawhorn, Vihar C. Surti
  • Patent number: 10080597
    Abstract: An intramedullary implant has opposite ends inserted into bores in abutting phalanges for correcting hammer toe and for similar arthrodesis procedures. A rear end of the implant may be threaded and is received in a bore in the proximal phalanx. A front end has an asymmetric pointed shape with longitudinally and/or angularly spaced rear-facing gripping flukes. The pointed front end is received in the middle phalanx. The asymmetric pointed shape is self-aligning, enabling entry to begin without first longitudinally aligning the bones. The rear end when screwed into place can be rotated to select the orientation of the asymmetric pointed shape. The pointed front end is inserted and pushed to bring the phalanges into abutment where the implant holds them against retraction or rotational displacement.
    Type: Grant
    Filed: December 19, 2014
    Date of Patent: September 25, 2018
    Assignee: Wright Medical Technology, Inc.
    Inventors: Jessica L. Shemwell, Pearce Branthover
  • Patent number: 10080605
    Abstract: An electrosurgical instrument includes a housing, a shaft extending from the housing, and an end effector assembly attached at a distal end of the shaft. A handle assembly is coupled to the housing and includes a movable handle for manipulating the end effector assembly. An outer sleeve is disposed about the shaft and selectively translatable relative thereto. An energizable member is operably coupled to the outer sleeve. A deployment mechanism is provided including a lever rotatably coupled to the housing and positioned proximally of the movable handle and at least one link member coupled between the lever and the outer sleeve. The link member(s) couple to the outer sleeve distally of the movable handle. Rotation of the lever translates the outer sleeve distally to move the outer sleeve over the end effector assembly and simultaneously deploy the energizable member distally past the end effector assembly.
    Type: Grant
    Filed: July 13, 2015
    Date of Patent: September 25, 2018
    Assignee: COVIDIEN LP
    Inventor: Judd C. Nutting
  • Patent number: 10064611
    Abstract: A vein harvesting device. The vein harvesting device includes a retractor and a drive shaft. The retractor includes an elongated portion defining a longitudinal axis, and supports a first engagement structure including a plurality of first tines. The drive shaft includes an elongated portion, and is movable along the longitudinal axis with respect to the retractor such that the elongated portion of the drive shaft contacts the first engagement structure causing the plurality of first tines to move about the longitudinal axis from a first position to a second position.
    Type: Grant
    Filed: July 22, 2015
    Date of Patent: September 4, 2018
    Assignee: COVIDIEN LP
    Inventors: Anthony B. Ross, Ashish Sharma, Eric R. Larson, William H. Nau, Jr.
  • Patent number: 10058427
    Abstract: An adjustable annuloplasty ring assembly (10) comprises a support ring (30), an adjustable ring (32) nested at least partly within the support ring, and at least one deployable pressing element (34) for deforming the adjustable ring using the support ring (30) as support. Plural pressing elements (34) may be used at different positions around rings. Each pressing element (34) may have a variable extents of deployment, to vary the extent of deformation of the adjustable ring at the position of the pressing element. Each pressing element may comprise a deflectable blade (40), and the state of the blade may be retained by a ratchet (50). The pressing elements may be operated in a predetermined controlled sequence.
    Type: Grant
    Filed: October 25, 2013
    Date of Patent: August 28, 2018
    Assignee: Kephalios S.A.S.
    Inventor: Daniel Hayoz
  • Patent number: 10052101
    Abstract: The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD.
    Type: Grant
    Filed: July 23, 2014
    Date of Patent: August 21, 2018
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Juergen A. Kortenbach, Michael Sean McBrayer, Alan Weisenborn, Robert B. DeVries, William H. Stahley, Jeff Wendlandt, Mark L. Adams, William J. Shaw