CA2491153A1 - Surgical suturing instrument - Google Patents

Surgical suturing instrument Download PDF

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Publication number
CA2491153A1
CA2491153A1 CA002491153A CA2491153A CA2491153A1 CA 2491153 A1 CA2491153 A1 CA 2491153A1 CA 002491153 A CA002491153 A CA 002491153A CA 2491153 A CA2491153 A CA 2491153A CA 2491153 A1 CA2491153 A1 CA 2491153A1
Authority
CA
Canada
Prior art keywords
needle
opening
suturing instrument
body member
distal portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002491153A
Other languages
French (fr)
Other versions
CA2491153C (en
Inventor
Michael S. H. Chu
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Ltd Barbados
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2491153A1 publication Critical patent/CA2491153A1/en
Application granted granted Critical
Publication of CA2491153C publication Critical patent/CA2491153C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle

Abstract

A suturing instrument is configured for to apply sutures to approximate, ligate, or fixate tissue in, for example, open, mini-incision, trans-vaginal, or endoscopic surgical procedures. The suturing instrument includes an elongate body member, a needle exit port, a needle receiving port, and a needle deployment mechanism. The suturing instrument eliminates the need for a preassembled needle and suture and reduces or eliminates the possibility of needle loss during suturing.

Claims (19)

1. A suturing instrument comprising:
an elongate body member including a distal portion defining a first opening and a second opening that opposes the first opening;
a needle at least partially disposed within the elongate body member, the needle including a hook-shaped distal portion and a tissue-penetrating tip distal of the hook-shaped distal portion; and a needle deployment mechanism coupled to a proximal portion of the needle and disposed at least partially within the elongate body member for moving the needle between the first and second openings.
2. The suturing instrument of claim 1 wherein the needle further comprises a latch movable between a first position in which the hook-shaped distal portion is open and a second position in which the hook-shaped distal portion is closed.
3. The suturing instrument of claim 2 wherein the body member comprises a protuberance disposed on an internal surface of the first opening for moving the latch to the first position when the needle is moved from the first opening to the second opening.
4. The suturing instrument of claim 2 wherein the body member comprises:
a protuberance disposed on an internal surface of the second opening for moving the latch to the second position when the needle is moved from the second opening to the first opening; and a flexible tubular member for holding a suture, the flexible tubular member disposed within the second opening and distal of the protuberance.
5. The suturing instrument of claim 2 wherein the latch is pivotably coupled to the needle.
6. The suturing instrument of claim 2 wherein the latch is slidably disposed on the needle.
7. The suturing instrument of claim 1 wherein the needle is substantially straight.
8. The suturing instrument of claim 1 wherein the needle is curved.
9. The suturing instrument of claim 4 wherein the flexible tubular member comprises a spring.
10. The suturing instrument of claim 4 wherein the flexible tubular member defines a first lumen and the distal portion of the suturing instrument defines a second lumen generally axially aligned with the first lumen.
11. The suturing instrument of claim 10 further comprising a slot defined by the distal portion of the suturing instrument, the slot in communication with the first lumen and the second lumen.
12. The suturing instrument of claim 1 further comprising a suture disposed within the second opening.
13. The suturing instrument of claim 1 wherein the elongate body member includes a bend
14. The suturing instrument of claim 1 wherein the elongate body member includes two bends.
15. The suturing instrument of claim 1 further comprising a handle disposed opposite the distal portion of the elongate body member, the handle at least partially houses the needle deployment mechanism.
16. The suturing instrument of claim 1 wherein the distal portion of the elongate body member can rotate relative to a remainder of the elongate body member.
17. A suturing instrument comprising:
an elongate body member including a distal portion defining a first opening and a second opening that opposes the first opening;
a needle at least partially disposed within the elongate body member, the needle comprising means for penetrating tissue and means for capturing and pulling a suture from the second opening; and a needle deployment mechanism coupled to a proximal portion of the needle and disposed at least partially within the elongate body member for moving the needle between the first and second openings.
18. A suturing instrument comprising:
an elongate body member including a distal portion defining a first opening and a second opening that opposes the first opening;
a needle at least partially disposed within the elongate body member, the needle comprising:

a hook-shaped distal portion for capturing and pulling a suture from the second opening; and a tissue-penetrating tip distal of the hook-shaped distal portion; and a needle deployment mechanism coupled to a proximal portion of the needle and disposed at least partially within the elongate body member for actuating the needle between the first opening and the second opening.
19. The suturing instrument of claim 18 wherein the needle further comprises a latch movable between a first position in which the hook-shaped distal portion is opened as the needle exits the first opening and a second position in which the hook-shaped distal portion is closed as the needle exits the second opening with the suture, thereby capturing the suture in the hook-shaped distal portion of the needle.
CA2491153A 2002-07-22 2003-07-18 Surgical suturing instrument Expired - Fee Related CA2491153C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/200,271 2002-07-22
US10/200,271 US6936054B2 (en) 2002-07-22 2002-07-22 Placing sutures
PCT/US2003/022513 WO2004008973A1 (en) 2002-07-22 2003-07-18 Surgical suturing instrument

Publications (2)

Publication Number Publication Date
CA2491153A1 true CA2491153A1 (en) 2004-01-29
CA2491153C CA2491153C (en) 2011-01-11

Family

ID=30443495

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2491153A Expired - Fee Related CA2491153C (en) 2002-07-22 2003-07-18 Surgical suturing instrument

Country Status (6)

Country Link
US (6) US6936054B2 (en)
EP (1) EP1523276B1 (en)
AU (1) AU2003254006B2 (en)
CA (1) CA2491153C (en)
DE (1) DE60336399D1 (en)
WO (1) WO2004008973A1 (en)

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US7815654B2 (en) 2010-10-19
US20050222589A1 (en) 2005-10-06
US9504465B2 (en) 2016-11-29
CA2491153C (en) 2011-01-11
US8906041B2 (en) 2014-12-09
US6936054B2 (en) 2005-08-30
US20110060352A1 (en) 2011-03-10
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US8764771B2 (en) 2014-07-01
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AU2003254006B2 (en) 2008-05-01
EP1523276B1 (en) 2011-03-16

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