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US4602635A Expired / Lapsed US ⏱️ 0.0 years remaining

Remote surgical knot tier and method of use

Assignee: Individual
•
Filing: 1983-11-14
•
Granted: 1986-07-29
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Expires: 2003-11-14
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Abstract

Abstract A remote surgical knot tier and method for its use is provided which can hold, push and place loops forming a knot in suture material from a manipulation area into a remote site in the body of a human being or an animal through a puncture wound or other small opening.

Inventors

  • 👤 James S. Mulhollan
  • 👤 Lionel Starr

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-22 19:23
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0469; A61B2017/0474

Claims Analysis

Total Claims: 12
Claim 1
Independent Claim 40 words
A remote surgical knot tier comprising: means for being guided along a length of suture material, means for pushing a loop of suture material along said length, and means for holding said loop such that said loop can be tightened.
Claim 2
Dependent Claim 40 words
A remote surgical knot tier comprising: means for being guided along a length of suture material, means for pushing a loop of suture material along said length, and means for holding said loop such that said loop can be tightened.
Claim 3
Dependent Claim 22 words
The device of claim 1 wherein said means for being guided along said suture material comprises a tunnel through said knot tier.
Claim 4
Dependent Claim 27 words
The device of claim 2 wherein said means for pushing said loop of suture material comprises a flat face with which said tunnel communicates at an opening.
Claim 5
Dependent Claim 48 words
A remote surgical knot tier which comprises: a rod member having a flat end, a tunnel therethrough communicating at an opening with said flat end, said tunnel sized to receive surgical suture material, and said flat end having a large surface area in comparison with said tunnel opening.
Claim 6
Dependent Claim 48 words
A remote surgical knot tier which comprises: a rod member having a flat end, a tunnel therethrough communicating at an opening with said flat end, said tunnel sized to receive surgical suture material, and said flat end having a large surface area in comparison with said tunnel opening.
Claim 7
Dependent Claim 25 words
The remote knot tier of claim 4 including a notch in the side of said rod member communicating with a second end of said tunnel.
Claim 8
Dependent Claim 21 words
The device of claim 4 wherein said flat end is at a non-perpendicular angle to the length of said rod member.
Claim 9
Dependent Claim 24 words
The device of claim 4 wherein said tunnel communicates with said flat end at a point offset from the center of said flat face.
Claim 10
Independent Claim 208 words
The method of tying a surgical knot at a remote site by using a remote knot tier comprising a rod member having a flat end and a tunnel therethrough communicating with said flat end, where suture material has been inserted through injured tissue at said remote site and two ends of the suture material extend to a manipulation area comprising the steps: (1) placing a first knot in the suture material by manipulating said first end with respect to said second end in the manipulation area, (2) pulling said first end of said suture material until said knot is tightened, (3) pulling said second end of said suture material until said knot is pulled to said remote site, (4) threading said second end of said suture material through said tunnel in said remote knot tier, (5) placing an additional loop in the suture material by manipulating said first end in front of said knot tier, (6) holding said second end taut while pushing said loop to said remote site with said flat end of said knot tier, (7) pulling said first end of said suture material while said flat end holds said loop, until said loop is tightened, (8) repeating steps 5-7 until a secure knot is tied.
Claim 11
Independent Claim 208 words
The method of tying a surgical knot at a remote site by using a remote knot tier comprising a rod member having a flat end and a tunnel therethrough communicating with said flat end, where suture material has been inserted through injured tissue at said remote site and two ends of the suture material extend to a manipulation area comprising the steps: (1) placing a first knot in the suture material by manipulating said first end with respect to said second end in the manipulation area, (2) pulling said first end of said suture material until said knot is tightened, (3) pulling said second end of said suture material until said knot is pulled to said remote site, (4) threading said second end of said suture material through said tunnel in said remote knot tier, (5) placing an additional loop in the suture material by manipulating said first end in front of said knot tier, (6) holding said second end taut while pushing said loop to said remote site with said flat end of said knot tier, (7) pulling said first end of said suture material while said flat end holds said loop, until said loop is tightened, (8) repeating steps 5-7 until a secure knot is tied.
Claim 12
Dependent Claim 23 words
The device of claim 3, wherein said flat face has a large surface area in comparison with an area of said tunnel opening.

References Cited (Backward Citations)

US4177813A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1989-07-28 1990-01-27 1990-07-29 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1993-07-28 1994-01-27 1994-07-29 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1997-07-28 1998-01-27 1998-07-29 $7700.00 Window Closed / Lapsed

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