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KNOT TYING MANUAL [Ethicon] on *FREE* shipping on qualifying offers. VERY INFORMATIVE BOOK. Hook for superficial ties. The KNOT TYING MANUAL and practice board are available from ETHICON, INC., for all learners of suturing and knot-tying techniques. Suture knot tying manual from Ethicon. Ethicon has produced a very useful guide to different recommended knot tying techniques. Click here to read or.

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The intracorporeal knot-tying technique reproduces the phases of a technique already known to traditional surgery.

Intracorporeal Knot-Tying and Suturing Techniques in Laparoscopic Surgery: Technical Details

A variety of knot tying apparatus have been proposed for use in instances where the surgeon does not have direct access, such as laparoscopic and other minimally invasive procedures. Usually, the removable cover is hinged so that it can be selectively opened and closed over the base. This article has been cited by other articles in PMC. Nevertheless, there is in every situation always a specific rying between functionality and costs: Thus, by capturing the first and second suture ends with the capture ends of the first and second snare cords, respectively, the snare cords may be pulled through the knotting guide sequentially or simultaneously to exchange the suture ends for the snare cords.

Eur J Coelio Surg.

National Center for Biotechnology InformationU. While in the first loop the distal end of ethucon suture is pushed underneath, in the second one it must be pulled through the front, and vice versa. Other suture knotting and tying apparatus are described in U. Every laparoscopic surgeon must absolutely learn these techniques. More particularly, the present invention relates to methods, devices, and kits for tying knots in suture used in surgical procedures. The knot K is tightened by pulling on the first suture end and then advanced by pushing it downwardly over the first suture endtypically using a knot pusher or other equivalent device.

After cinching the knot, the user can grasp the handlepush on shaftto advance the knot distally, i. The devicehowever, includes a break-away shaft having a handlerather than the handle 14 shown in FIG. Thus, four or more separate snare cord pairs can tehicon mounted on a single knotting guide 70 using the three separation plates, and illustrated in FIG.

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This process generates a new loop in the already existing one, which is tied guiding the needle holder through the loop and applying countertraction between the needle holder and the assistant needle holder. A method as in claim 15wherein the first suture end and the second manusl end comprise opposite ends of a single length of suture. A kit comprising a knot tying device as in claim 1and a package, wherein the device is sterile and contained in the package. The snare cord can be any filament, multi-filament bundle, wire, or the like, which is capable of being configured into the knot pattern and subsequently pulled or drawn through the knotting guide to effect the suture exchange.

US6171317B1 – Knot tying device and method – Google Patents

A knot tying device as in claim 8wherein the knot is selected from the group consisting of a square knot, a sliding surgeon’s knot, a square knot, a cinch knot, a capstan knot, and a reef knot.

Therapeutic laparoscopic suturing techniques. The snare cords 30 and 32 may then be pulled through the knotting guide 12 in order to exchange the suture ends for the snare cords, thus imparting the knot pattern into the suture ends. Special threads, metal clips, or clips made from reabsorbable material cannot substitute traditional sutures or ligations in every situation.

Note that the surgeon’s knot 50 is shown to be formed in a single length of suture where the two suture ends have been pulled through the knotting guide Therefore, the above description should not be taken as limiting the scope of the invention which is defined by the appended claims.

Intracorporeal Knot-Tying and Suturing Techniques in Laparoscopic Surgery: Technical Details

The package will be sealed to maintain the sterility of the device A knot tying device as in claim 2wherein the knotting guide further comprises pins between the base and the cover, wherein the snare cords are arranged about the pins in the loose knot pattern. The principles of the present invention call be applied to a wide variety of surgical knots, including in addition to the sliding surgeon’s knot described above, square knots, capstan knots as described in U.

Knotless suture anchoring device having deforming section to accommodate sutures of various diameters. By capturing a pair of free suture tging in the suture capture ends dthicon the snare cords, the knotted configuration originally embodied in the snare cords can be transferred to the free suture ends knoh pulling those ends through the knotting guide.


Whatever the specific structure, the capture end should have a profile and a flexibility which permits it to be drawn through the knotting guide during the suture exchange. At present, most suture knots used in surgical procedures are tied completely by hand, particularly in open surgical procedures where a surgeon has free access to the tissue site to be surgically closed. Such blood vessel penetrations are formed, for example, to provide access to the femoral artery in the groin by the Seldinger technique.

In the kknot embodiment, one snare cord manuzl from a proximal portion of the knotting guide while a second cord exits from a side of the knotting guide.

For instance, any material that swells at the contact with water after having being introduced into the body theoretically increases its capacity of tying and tightening. Apparatus for knotting drawstrings of medical devices or medical devices containing drugs. The knotting guide 70 has a surface 72 with three axially spaced-apart guide posts 7476and The pull end of the snare cord can be unmodified, i. Therefore, knots made from catgut, dacron, polyglactin and lactomer can be considered safe, whereas ones made from PDS, silk or polyamide are less reliable.

The end of knott suture should not be longer than 2 cm and should be positioned, before performing the knot on the needle holder, under direct vision and in such a way that makes it easy to be grasped. The suture may be placed at a tissue site by any conventional technique.

Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods. This product MIC 54, Ethicon7 cm long, regularly used successfully by us to perform a continuous suture following ideal coledochtomy, has a terminal clip pre-anchored to the suture thread and a second one loose in its box.

Ko S, Airan MC. A method as in claim 16wherein the single length of suture passes between blood vessels in an anastomotic attachment. A knot tying device as in claim 1wherein the knotting guide comprises a base and a cover that can be opened to release a knot formed in the suture ends after exchange with the snare cords.