Mark A Bovard, 64151 Dangelo Pkwy, Avon, NY 14414

6997931, Feb 14, 2006

Feb 2, 2001

09/776431

Jude S. Sauer - Pittsford NY, US
Michael W. Fitzsimmons - Rochester NY, US
Mark A. Bovard - Pittsford NY, US

LSI Solutions, Inc. - Victor NY

A61B 17/10

606139, 606144, 606148, 606149, 606150, 600104, 600105, 600106, 600107, 604 22

A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. The system further includes a tissue suturing instrument and a suture securing instrument. Each of these instruments has a distal end coupled to a partially flexible shaft locatable through the accessory tube.

7211093, May 1, 2007

Jan 14, 2004

10/757042

Jude S. Sauer - Rochester NY, US
John F. Hammond - Canandaigua NY, US
James W. Guelzow - Victor NY, US
Michael W. Fitzsimmons - Rochester NY, US
Mark A. Bovard - Mendon NY, US

LSI Solutions, Inc. - Victor NY

A61B 17/04
A61B 17/12

606144, 606145, 606148

An instrument and method for suturing wound closures is provided having a handle, shaft and suture engagement mechanism. The instrument provides for multiple placements or “bites” of suture in tissues to enable a wide variety of suturing techniques, including the ability to “run” a suture. The instrument further facilitates suture knot tying. The method of this instrument provides for rapid and effective remote suture placement and knot tying.

7407505, Aug 5, 2008

May 13, 2004

10/845040

Jude S. Sauer - Rochester NY, US
John F. Hammond - Canandaigua NY, US
James W. Guelzow - Victor NY, US
Michael W. Fitzsimmons - Rochester NY, US
Mark A. Bovard - Mendon NY, US

LSI Solutions, Inc. - Victor NY

A61B 17/04
A61B 17/12

606145, 606144, 606148

An instrument and method for suturing wound closures is provided having a handle, shaft and suture engagement mechanism. The instrument provides for multiple placements or “bites” of suture in tissues to enable a wide variety of suturing techniques, including the ability to “run” a suture. The instrument further facilitates suture knot tying. The method of this instrument provides for rapid and effective remote suture placement and knot tying.

8313496, Nov 20, 2012

May 15, 2003

10/438607

Jude S. Sauer - Pittsford NY, US
Michael W. Fitzsimmons - Rochester NY, US
Mark A. Bovard - Mendon NY, US

LSI Solutions, Inc. - Victor NY

A61B 17/10
A61B 17/04
A61B 17/12

606139, 606144, 606148, 606149, 606150, 600104, 600105, 600106, 600107, 604 22

A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to flex relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. Tissue suturing and suture securing instruments are provided each having a sufficiently flexible shaft locatable through the accessory tube.

2003017, Sep 18, 2003

Mar 12, 2002

10/095842

Jude Sauer - Pittsford NY, US
Mark Bovard - Pittsford NY, US

A61M029/00

606/198000

A tissue manipulation apparatus and method of use is provided to enable remote holding and multidirectional movement of tissue, such as the prostate gland to aid in its surgical removal during prostatectomy. The apparatus has a housing and a shaft extending from the housing which curves to a distal end. The shaft is insertable through a natural or surgical opening or channel in the body of a patient, such as the urethra of a male patient to access the patient's prostate gland. Tissue engaging members in the distal end are actuated by a longitudinal drive mechanism through the shaft from their retracted position at the distal end to extend into the tissue. The distal end is rotatable by a rotational drive mechanism extending through the shaft to the distal end. The longitudinal and rotational drive mechanisms are independently operated at the housing. The tissue once held by the tissue engaging members may be manipulated in its position under control of the operator of the apparatus, such as, raised or lowered by adjusting the tilt angle of the shaft, pulled or pushed by changing the extent of the shaft passing through the opening or channel to access the tissue, and bi-directional rotated via the rotational drive mechanism. In a prostatectomy, for example, the distal end is located in the prostate through the urethra and the tissue engaging members are extended. The operator can position the prostate to expose and place tissue surrounding the prostate under tension during dissection, while minimizing damage to surrounding tissue structures. The apparatus may further provide internal channels to facilitate the insertion or removal of liquids or gases from the site of tissue engagement. After dissection is complete, the tissue engaging members are retracted in the distal end to their retracted position via the longitudinal drive mechanism, and then the shaft and distal end is removed from the patient.

2005016, Jul 28, 2005

Mar 21, 2005

11/085703

Jude Sauer - Pittsford NY, US
Michael Fitzsimmons - Rochester NY, US
Mark Bovard - Pittsford NY, US

A61B017/04

606148000

A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. A tissue suturing instrument is provided having a partially flexible shaft locatable through the accessory tube, and a tissue engaging end coupled to the shaft. The tissue engaging end has a vacuum sleeve enabling suction to be selectably applied at the tissue engaging end to capture tissue through an opening in the vacuum sleeve. Two needles are provided which extend through the shaft of the suturing instrument. Each needle is separately actuated into a gap in the instrument's tip, through tissue suctioned into the opening of the vacuum sleeve and into a ferrule at each end of a loop of suture. The system further includes a suture securing instrument having a partially flexible shaft locatable through the accessory tube, and a distal end coupled to the shaft. After removal of the suturing instrument from the accessory tube, a loop of suture extends through the tissue and the accessory tube, the suture securing instrument receives the free ends of the loop of suture at its distal end through a sleeve member, and the suture securing instrument is then inserted through the accessory tube to the location of the suture in the tissue. The suture securing instrument crimps the sleeve member and cuts the free ends of the suture to secure the suture closed. The suturing instrument and suture securing instrument are passed through the accessory tube without removal of the endoscope from the patient. The endoscope provides viewing by an operator of the engaging end of the suturing instrument for selecting placement of the suture through tissue, and of the distal end of the suture securing instrument to secure the suture closed.

2010033, Dec 30, 2010

Sep 1, 2010

12/807259

Jude S. Sauer - Pittsford NY, US
Michael W. Fitzsimmons - Rochester NY, US
Mark A. Bovard - Pittsford NY, US

A61B 17/94
A61B 17/062

600106, 606139

A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. A tissue suturing instrument is provided having a partially flexible shaft locatable through the accessory tube, and a tissue engaging end coupled to the shaft. The tissue engaging end has a vacuum sleeve enabling suction to be selectably applied at the tissue engaging end to capture tissue through an opening in the vacuum sleeve. Two needles are provided which extend through the shaft of the suturing instrument. Each needle is separately actuated into a gap in the instrument's tip, through tissue suctioned into the opening of the vacuum sleeve and into a ferrule at each end of a loop of suture. The system further includes a suture securing instrument having a partially flexible shaft locatable through the accessory tube, and a distal end coupled to the shaft. After removal of the suturing instrument from the accessory tube, a loop of suture extends through the tissue and the accessory tube, the suture securing instrument receives the free ends of the loop of suture at its distal end through a sleeve member, and the suture securing instrument is then inserted through the accessory tube to the location of the suture in the tissue. The suture securing instrument crimps the sleeve member and cuts the free ends of the suture to secure the suture closed. The suturing instrument and suture securing instrument are passed through the accessory tube without removal of the endoscope from the patient. The endoscope provides viewing by an operator of the engaging end of the suturing instrument for selecting placement of the suture through tissue, and of the distal end of the suture securing instrument to secure the suture closed.

2012001, Jan 19, 2012

Jul 13, 2010

12/835464

Jude S. Sauer - Pittsford NY, US
Mark A. Bovard - Mendon NY, US
John F. Hammond - Canandaigua NY, US

LSI Solutions, Inc. - Victor NY

A61B 17/04

606144

A device for placing one or more sutures through a section of tissue, especially a section of thick and/or moving tissue such as the wall of a beating heart. The device includes a tissue welting tip having a trough for forming a welt in a tissue section, an alignment guide pivotally mounted in the distal end adjacent to the trough, and having an opening receiving a guide wire and an elongated sleeve slidably engagable with the guide wire there through. The device also includes one or more expandable tissue engaging member(s) on the sleeve selectively expandable from a collapsed configuration having a diameter small enough to pass through the opening in the tip to an expanded configuration having a diameter large enough to engage a tissue section and urge it into the trough to form a welt in the tissue section and a retractable needle extendable through at least two portions of a tissue section while the tissue section is engaged with the trough.