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US5236438A Expired / Lapsed US ⏱️ 0.0 years remaining

Method and assembly for repairing liver laceration

Assignee: Individual
•
Filing: 1992-09-10
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Granted: 1993-08-17
•
Expires: 2012-09-10
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Abstract

Abstract In a method for repairing a liver laceration, a plurality of bolts of biocompatible material are provided, each of the bolts being formed with anchoring means for preventing removal of the respective bolt from the liver upon insertion of the bolt therein. At least two of the bolts are driven into the liver on opposite sides of the laceration so that head portions of the two bolts remain protruding from the liver. A suture is tied around the protruding head portions of the two bolts, thereby closing the laceration and stemming a flow of blood from the laceration. The bolts may be provided with molley type sheaths which are pushed into the liver prior to insertion of the two bolts and which are expanded at least in part by the bolts to anchor the sheaths and the bolts in the liver. The sheaths, like the bolts, are made of a biocompatible, even bioabsorbable or hemostatic, material.

Inventors

  • 👤 Peter J. Wilk

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 04:03
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0466; A61B17/56; A61B17/58; A61B17/68; A61B17/0401; A61B17/08; A61B2017/00004; A61B2017/0446; A61B2017/0458; A61B2017/0464

Claims Analysis

Total Claims: 24
Claim 1
Independent Claim 101 words
A method for repairing a liver laceration, comprising the steps of: providing a plurality of bolts of biocompatible material, each of said bolts being formed with anchoring means for preventing removal of the respective bolt from the liver upon insertion of the bolt therein; driving two of said bolts into the liver on opposite sides of the laceration so that head portions of said two of said bolts remain protruding from the liver; and attaching a suture around the protruding head portions of said two of said bolts, thereby closing the laceration and stemming a flow of blood from the laceration.
Claim 2
Independent Claim 101 words
A method for repairing a liver laceration, comprising the steps of: providing a plurality of bolts of biocompatible material, each of said bolts being formed with anchoring means for preventing removal of the respective bolt from the liver upon insertion of the bolt therein; driving two of said bolts into the liver on opposite sides of the laceration so that head portions of said two of said bolts remain protruding from the liver; and attaching a suture around the protruding head portions of said two of said bolts, thereby closing the laceration and stemming a flow of blood from the laceration.
Claim 3
Dependent Claim 58 words
The method defined in claim 1, further comprising the steps of inserting molley sheaths into the liver, said two of said bolts being inserted into respective ones of said molley sheaths, thereby expanding at least portions of said molley sheaths to anchor said sheaths and said bolts in the liver, said sheaths being made of a biocompatible material.
Claim 4
Dependent Claim 16 words
The method defined in claim 2 wherein said molley sheaths are made of a bioabsorbable material.
Claim 5
Dependent Claim 16 words
The method defined in claim 2 wherein said molley sheaths are made of a hemostatic material.
Claim 6
Dependent Claim 19 words
The method defined in claim 2 wherein said sheaths are each provided with a coating of a hemostatic agent.
Claim 7
Dependent Claim 35 words
The method defined in claim 1 wherein each of said bolts has a shaft and a head at one end of said shaft, said anchoring means including a plurality of shoulders formed along said shaft.
Claim 8
Dependent Claim 18 words
The method defined in claim 6 wherein said shoulders are axially spaced from one another along said shaft.
Claim 9
Dependent Claim 15 words
The method defined in claim 1 wherein said bolts are made of a bioabsorbable material.
Claim 10
Dependent Claim 15 words
The method defined in claim 1 wherein said bolts are made of a hemostatic material.
Claim 11
Dependent Claim 19 words
The method defined in claim 1 wherein said bolts are each provided with a coating of a hemostatic agent.
Claim 12
Dependent Claim 127 words
A kit for repairing a liver laceration, comprising: a plurality of bolts of biocompatible material, each of said bolts being adapted for insertion into the liver; anchoring means on each of said bolts for preventing removal of the respective bolt from the liver upon insertion of the bolt therein; coupling means for tying a protruding portion of one of said bolts on one side of the liver laceration to a protruding portion of another of said bolts on an opposite side of the liver laceration, thereby closing the laceration and stemming a flow of blood from the laceration; and arresting means on each of said bolts for preventing said coupling means from slipping off the respective bolts upon tying of the protruding bolt portions to one another.
Claim 13
Dependent Claim 127 words
A kit for repairing a liver laceration, comprising: a plurality of bolts of biocompatible material, each of said bolts being adapted for insertion into the liver; anchoring means on each of said bolts for preventing removal of the respective bolt from the liver upon insertion of the bolt therein; coupling means for tying a protruding portion of one of said bolts on one side of the liver laceration to a protruding portion of another of said bolts on an opposite side of the liver laceration, thereby closing the laceration and stemming a flow of blood from the laceration; and arresting means on each of said bolts for preventing said coupling means from slipping off the respective bolts upon tying of the protruding bolt portions to one another.
Claim 14
Dependent Claim 33 words
The kit defined in claim 11 wherein said anchoring means includes a plurality of expandable molley sheaths made of a biocompatible material, said bolts being inserted into respective ones of said molley sheaths.
Claim 15
Dependent Claim 16 words
The kit defined in claim 12 wherein said molley sheaths are made of a bioabsorbable material.
Claim 16
Dependent Claim 16 words
The kit defined in claim 12 wherein said molley sheaths are made of a hemostatic material.
Claim 17
Dependent Claim 19 words
The kit defined in claim 12 wherein said sheaths are each provided with a coating of a hemostatic agent.
Claim 18
Dependent Claim 24 words
The kit defined in claim 11 wherein said anchoring means includes a plurality of shoulders formed along a shaft of each of said bolts.
Claim 19
Dependent Claim 18 words
The kit defined in claim 16 wherein said shoulders are axially spaced from one another along said shaft.
Claim 20
Dependent Claim 13 words
The device defined in claim 11 wherein said coupling means includes a suture.
Claim 21
Dependent Claim 14 words
The device defined in claim 11 wherein said arresting means includes a bolt head.
Claim 22
Dependent Claim 15 words
The kit defined in claim 11 wherein said bolts are made of a bioabsorbable material.
Claim 23
Dependent Claim 15 words
The kit defined in claim 11 wherein said bolts are made of a hemostatic material.
Claim 24
Dependent Claim 19 words
The kit defined in claim 11 wherein said bolts are each provided with a coating of a hemostatic agent.

References Cited (Backward Citations)

US363538A Cited
US1127090A Cited
US2199025A Cited
US4757664A Cited
US4711234A Cited
US4861208A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1996-08-16 1997-02-15 1997-08-17 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2000-08-16 2001-02-15 2001-08-17 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2004-08-16 2005-02-15 2005-08-17 $7700.00 Window Closed / Lapsed

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