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Suture passer

Info

Publication number
CA2447910A1
CA2447910A1 CA 2447910 CA2447910A CA2447910A1 CA 2447910 A1 CA2447910 A1 CA 2447910A1 CA 2447910 CA2447910 CA 2447910 CA 2447910 A CA2447910 A CA 2447910A CA 2447910 A1 CA2447910 A1 CA 2447910A1
Authority
CA
Grant status
Application
Patent type
Prior art keywords
suture
carrier
suturing
instrument
tip
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
CA 2447910
Other languages
French (fr)
Other versions
CA2447910C (en )
Inventor
Peter Dreyfuss
Reynaldo Sylvester
Barry N. Gellman
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
Original Assignee
Scimed Life Systems, Inc.
Peter Dreyfuss
Reynaldo Sylvester
Barry N. Gellman
Boston Scientific Limited
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

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062Needle manipulators
    • A61B17/0625Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472Multiple-needled, e.g. double-needled, instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474Knot pushers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06042Means for attaching suture to needle located close to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06047Means for attaching suture to needle located at the middle of the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft

Abstract

Sutures can be placed in difficult to access areas of the human body with devices, and related methods, utilizing a suture carrier with a sharpened tip and a notch for holding a formed suture tip. The devices and methods can be used in conjunction with both endosurgical and traditional open surgery.

Claims (29)

1. A suturing instrument comprising:
an elongate body member;
a suture deployment system disposed at a distal portion of the elongate body member, the suture deployment system comprising a suture carrier including a sharpened distal end for tissue penetration and a notch for holding a formed suture tip; and a catch disposed on the elongate body member to receive and retain the formed suture tip.
2. A suturing instrument as defined in claim 1, further comprising a deployment controller including a distal end, the deployment controller extending substantially along a longitudinal axis of the elongate body member to the distal portion of the elongate body member where the distal end of the deployment controller is coupled to the suture carrier and moves the suture carrier between a retracted position and a deployed position.
3. A suturing instrument as defined in claim 2, wherein a proximal end of the deployment controller is coupled to an actuator.
4. A suturing instrument as defined in claim 2, wherein the deployment controller guides the suture carrier along a path that includes a proximal curved path segment such that the suture carrier initially travels away from the elongate body member and then towards the elongate body member.
5. A suturing instrument as defined in claim 1, further comprising a second suture carrier.
6. A suturing instrument as defined in claim 1, further comprising a suture with the formed tip.
7. A suturing instrument as defined in claim 6, wherein the formed tip is constructed from a material selected from a group consisting of plastic, metal, and polymer compound.
8. A suturing instrument as defined in claim 1, wherein the catch is positioned on the elongate body member such that a distal path segment of the suture carrier's path is intercepted by the catch.
9. A suturing instrument as defined in claim 2, wherein the deployment controller is coupled to the suture carrier with a flexible driver member.
10. A suturing instrument as defined in claim 9, wherein the flexible driver member further comprises an alloy including nickel and titanium.
11. A suturing instrument comprising:
a body member defining a suture exit port and a suture carrier channel; and a suture carrier including a sharpened distal end for tissue penetration and a notch for holding a formed suture tip, wherein the suture carrier is movably positioned in the suture carrier channel to move between a retracted position within an interior region of the body member and a deployed position exterior to the body member, the suture carrier being configured within the suture carrier channel such that the suture carrier exits the interior region of the body member through the suture exit port.
12. A suturing instrument as defined in claim 11 further comprising a second suture carrier.
13. A suturing instrument as defined in claim 11 further comprising a suture with the formed tip.
14. A suturing instrument as defined in claim 13, wherein the formed tip is constructed from a material selected from a group consisting of plastic, metal, and polymer compound.
15. A suturing instrument as defined in claim 11 further comprising a catch to receive and retain the formed suture tip and positioned on the body member such that a distal segment of the suture carrier's path is intercepted by the catch.
16. A suturing instrument comprising:
an elongate body member having a longitudinal axis;
a distal tip suture deployment assembly joined with a distal end of the elongate body member such that the distal tip suture deployment assembly is free to rotate axially about the longitudinal axis of the elongate body member, the distal tip suture deployment assembly comprising a suture exit port formed in the distal tip suture deployment assembly, a curved suture carrier channel formed in the distal tip suture deployment assembly, a curved suture carrier movably positioned in the curved suture carrier channel, and a suture with a formed tip coupled to the suture carrier; and a deployment controller including a distal end, the deployment controller extending substantially along the longitudinal axis of the elongate body member to a distal end of the elongate body member where the distal end of the deployment controller is coupled to the distal tip suture deployment assembly and moves the curved suture carrier through the curved suture carrier channel as the deployment controller moves between a retracted position and a deployed position.
17. A suturing instrument as defined in claim 16, wherein a proximal end of the deployment controller is coupled to an actuator.
18. A suturing instrument as defined in claim 16, wherein the distal tip suture deployment assembly further comprises a second suture carrier and a second suture exit port.
19. A suturing instrument as defined in claim 16 further comprising a catch to receive and retain the formed suture tip.
20. A suturing instrument as defined in claim 19, wherein the catch is positioned on the distal tip suture deployment assembly such that a distal segment of the curved suture carrier's path is intercepted by the catch as the deployment controller approaches the deployed position.
21. A method for placing a suture in tissue comprising the steps of:
inserting a suturing instrument enclosing a suture carrier including a sharpened distal end for tissue penetration and a notch for holding a formed suture tip, wherein the suture carrier is movably positioned within a suture carrier channel adjacent the tissue to be sutured;
deploying the suture carrier out of the suturing instrument through an exit port such that the suture carrier exits an interior region of the suturing instrument through the exit port along a path approximately tangential to an outer surface of the suturing instrument surrounding the exit port; and capturing a suture carried by the suture carrier in a catch that receives and retains the formed suture tip.
22. A suturing instrument comprising:
a body member defining a suture exit port and a carrier channel;
a carrier movably positioned in the carrier channel between a retracted position within an interior region of the body member and a deployed position exterior to the body member such that the carrier exits the interior region of the body member through the exit port; and a surgical needle permanently fixed on a distal end of the carrier.
23. A suturing instrument as defined in claim 22, further comprising a suture with a formed tip.
24. A suturing instrument as defined in claim 23, wherein a distal end of the permanently fixed needle comprises a notch for carrying the suture.
25. A suturing instrument as defined in claim 23, wherein the formed tip is constructed from a material selected from a group consisting of plastic, metal, and polymer compound.
26. A suturing instrument as defined in claim 23, further comprising a catch to receive and retain the formed suture tip.
27. A suturing instrument as defined in claim 26, wherein the catch is positioned on the elongate body member such that a distal segment of the carrier's path is intercepted by the catch.
28. A suturing instrument as defined in claim 22, wherein the exit port, suture carrier channel, and carrier are located in a distal tip assembly coupled to the body member.
29. A suturing instrument as defined in claim 28, wherein the distal tip assembly is coupled to the body member such that the distal tip assembly is free to rotate axially about a longitudinal axis of the body member.
CA 2447910 2001-05-21 2002-05-10 Suture passer Active CA2447910C (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US09/861,826 2001-05-21
US09861826 US6997932B2 (en) 2001-05-21 2001-05-21 Suture passer
PCT/US2002/014797 WO2002094107A1 (en) 2001-05-21 2002-05-10 Suture passer

Publications (2)

Publication Number Publication Date
CA2447910A1 true true CA2447910A1 (en) 2002-11-28
CA2447910C CA2447910C (en) 2010-09-28

Family

ID=25336872

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2447910 Active CA2447910C (en) 2001-05-21 2002-05-10 Suture passer

Country Status (5)

Country Link
US (4) US6997932B2 (en)
CA (1) CA2447910C (en)
DE (1) DE60231488D1 (en)
EP (1) EP1389960B1 (en)
WO (1) WO2002094107A1 (en)

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US8292903B2 (en) 2012-10-23 grant
DE60231488D1 (en) 2009-04-23 grant
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EP1389960A1 (en) 2004-02-25 application
US20130030450A1 (en) 2013-01-31 application
US7771438B2 (en) 2010-08-10 grant
WO2002094107A1 (en) 2002-11-28 application
US20060052801A1 (en) 2006-03-09 application
US20020173800A1 (en) 2002-11-21 application
US9339267B2 (en) 2016-05-17 grant
EP1389960B1 (en) 2009-03-11 grant
US20100268256A1 (en) 2010-10-21 application

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