US 12,390,215 B2
Suturing with an endoluminal gastroplasty device
Asaf Asherov, Pardes Hanna-Karkur (IL); Raz Bar-On, Hadera (IL); Gilad Heftman, Pardes Hana Karkur (IL); Raz Ben Yaakov, D.N. Hof HaCarmel (IL); Marina Dror, Haifa (IL); and Dmitry Golom, Haifa (IL)
Assigned to Nitinotes Ltd., Caesarea (IL)
Appl. No. 17/802,165
Filed by Nitinotes Ltd., Caesarea (IL)
PCT Filed Feb. 23, 2021, PCT No. PCT/IL2021/050208
§ 371(c)(1), (2) Date Aug. 25, 2022,
PCT Pub. No. WO2021/171290, PCT Pub. Date Sep. 2, 2021.
Claims priority of provisional application 62/981,573, filed on Feb. 26, 2020.
Prior Publication US 2023/0355232 A1, Nov. 9, 2023
Int. Cl. A61B 17/04 (2006.01); A61B 17/06 (2006.01); A61B 17/062 (2006.01); A61F 5/00 (2006.01); A61B 17/00 (2006.01); A61B 90/00 (2016.01)
CPC A61B 17/0487 (2013.01) [A61B 17/06066 (2013.01); A61B 17/0625 (2013.01); A61F 5/0086 (2013.01); A61B 2017/00026 (2013.01); A61B 2017/00039 (2013.01); A61B 2017/00561 (2013.01); A61B 2017/0488 (2013.01); A61B 2017/0496 (2013.01); A61B 2017/0498 (2013.01); A61B 2017/06076 (2013.01); A61B 2090/064 (2016.02)] 19 Claims
OG exemplary drawing
 
1. A bougie configured for placing suturing in a body cavity wall, the bougie comprising:
a vacuum clamping domain, sized for insertion into the body cavity, and comprising surfaces defining an interior space, and apertures into the interior space configured to receive tissue of the body cavity wall upon application of suction thereto;
a needle within the interior space, with suture attached to the needle; and
a suture clip within the interior space;
wherein the needle is actuatable to translate along a path within the interior space while carrying the suture through the tissue; and
wherein the suture clip is positioned to capture the suture at a position along the path, and operable to clamp the captured suture
wherein said bougie comprising a suture tightener at least partially within the interior space, said suture tightener also positioned to capture the suture at a position along the path, and operable, from outside the bougie, to move to apply a pulling force on the suture to reduce a length of tissue-engaged suture; and
the suture tightener comprises an aperture positioned along the path, and the suture tightener captures the suture when the needle pulls the suture through the aperture of the suture tightener.