EP0836422A1 - Dispositif pour suture sous laparoscopie et aiguilles de suture - Google Patents

Dispositif pour suture sous laparoscopie et aiguilles de suture

Info

Publication number
EP0836422A1
EP0836422A1 EP96916426A EP96916426A EP0836422A1 EP 0836422 A1 EP0836422 A1 EP 0836422A1 EP 96916426 A EP96916426 A EP 96916426A EP 96916426 A EP96916426 A EP 96916426A EP 0836422 A1 EP0836422 A1 EP 0836422A1
Authority
EP
European Patent Office
Prior art keywords
suture
wings
tube
suture needle
needle holder
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.)
Withdrawn
Application number
EP96916426A
Other languages
German (de)
English (en)
Other versions
EP0836422A4 (fr
Inventor
Robert J. Greenstein
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.)
Individual
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 EP0836422A1 publication Critical patent/EP0836422A1/fr
Publication of EP0836422A4 publication Critical patent/EP0836422A4/fr
Withdrawn legal-status Critical Current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
    • A61B17/0057—Implements 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements 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
    • A61B2017/00637—Implements 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements 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
    • A61B2017/00646—Type of implements
    • A61B2017/00663—Type of implements the implement being a suture
    • 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
    • A61B2017/047—Suturing 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
    • 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
    • A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
    • 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
    • A61B2017/06042—Means for attaching suture to needle located close to needle tip

Definitions

  • Deep Suture is a needle holder made by
  • rotatable rod having a control handle at the proximal end and a drive gear at the distal end.
  • pair of driven gears are positioned at the periphery of the drive gear at opposite sides thereof,
  • each driven gear coupled to an arm or wing that pivots radially outward from the shaft when the
  • Each wing includes a recess or blind hole for receiving the proximal
  • each needle can move.
  • the device with wings retracted, is inserted down into the opening in the abdominal wall produced by a trocar. During insertion the
  • the needles may become dislodged and separate
  • the new invention provides in combination an improved needle and improved
  • Each needle has a groove in
  • grooves in the needles are preferably inclined downward.
  • the needles are situated with their proximal ends in the blind holes in the wings and the suture line extending from each needle is drawn downward to lie in the groove.
  • the needles are urged downward because the groove through which the suture is pulled
  • Fig. 1 is an exploded elevation of the new device and the new needles.
  • Fig. 2A is an elevation of the new device
  • Figs. 2B, 2C, and 2D are fragmentary
  • Fig. 3 is a fragmentary elevation partially cut away showing the drive mechanism.
  • Fig. 4 is a sectional view taken along line 4-4 in Fig. 3, with the wings closed.
  • Fig. 5 is a sectional view similar to Fig. 4 with the wings open.
  • Fig. 6 is fragmentary section view of the new needle
  • Figs. 7 and 8 are fragmentary front and side views of the needle of Fig. 6.
  • Fig. 9 is a fragmentary' front view shown schematically of a needle with a groove
  • Fig. 10 is a schematic view of the new device when inserted and the wings are open.
  • Fig. 1 1 is a schematic view similar to Fig. 10.
  • Fig. 1 shows a first embodiment 10 of the new suturing device including the central shaft
  • wing 17 At the distal end are wings 17, grooves or channels 18 corresponding in length to the needles to receive the needles and guide notch 19.
  • a cleaning port 20 In handle 15 is a cleaning port 20.
  • a depth gage 21 Along the length of shaft 12 is a depth gage 21. Also shown are needles 21 and suture 22 positioned for insertion
  • Fig. 2A shows device 10 oriented upside down relative to Fig. 1, with the wings 17 in
  • FIG. 2B shows the distal end 19 of the device with the wings partially
  • Fig. 2C shows the distal end with the wings fully open; and Fig. 2D shows the distal end
  • Figs. 3 and 4 show a typical drive mechanism 30 for the new device, the components
  • Needles 42 are removably situated in blind holes 38 in the wings.
  • wings in closed position are designated by 37' in Fig. 3 along with needles 42' in closed position.
  • control knob rotates rod 32 and drive gear 41. This causes
  • Figs. 6-16 show a new needle 45 with its groove 46 and end 47 of suture 48 swedged
  • the groove 46 may extend to various depths or as a blind hole for receiving the end of
  • the groove and/or hole may be formed by cutting, lancing, forging or other
  • Securing the suture end to the needle is thereafter done by swedging, peening or otherwise deforming the metal of the needle adjacent the suture to achieve a clamping action on the suture.
  • Other adhering techniques may be used, but ideally the suture extends from the
  • the groove is oriented to lead the suture out of the side surface of the needle at an angle
  • the surface of the needle is near the proximal end or closer to that end than the point.
  • the new device and new needles herein described may be used for closing trochar holes
  • a further feature of this invention is a cleaning port and Luer fitting situated in the handle. When opened the port allows high pressure cleaning solution from a syringe or other
  • Fig. 10 shows schematically the suturing device 50 inserted through he abdominal wall
  • Suture ends 55 and 56 extend from needles 53 and 54 respectively in a downward direction of arrows 57
  • the insertion device is made of stainless steel or equivalent, with a plastic handle or as
  • suture material about 3-10 cm.
  • a great variety of commercially available suture material may be selected as

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne une aiguille de suture (45) chirurgicale constituée d'une tige de forme allongée se définissant par une première extrémité s'affinant en une pointe, par une seconde extrémité et par une partie médiane. Dans la partie médiane se trouve une rainure (46) axialement alignée menant à un trou aveugle dans lequel une suture (48) chirurgicale est retenue de façon fixe. L'invention concerne également un porte-aiguille (10) constitué d'un tube (31) de forme allongé comportant une cavité interne et une face distale (35) arrondie. Une rainure externe (36) présente une profondeur suffisante pour y retenir une suture. Le porte-aiguille de suture comporte également, au voisinage de l'extrémité distale, une paire d'ailettes (37), chaque ailette étant fixée en l'une de ses extrémités au tube par un pivot, l'autre extrémité de chaque ailette étant pourvue d'un dispositif de fixation d'aiguille (38). Pour commander le mouvement de pivotement des ailettes, le porte-aiguille de suture comporte en outre un organe de commande (32) raccordé à la paire d'ailettes.
EP96916426A 1996-03-08 1996-03-08 Dispositif pour suture sous laparoscopie et aiguilles de suture Withdrawn EP0836422A4 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US1996/001789 WO1997037594A1 (fr) 1996-03-08 1996-03-08 Dispositif pour suture sous laparoscopie et aiguilles de suture

Publications (2)

Publication Number Publication Date
EP0836422A1 true EP0836422A1 (fr) 1998-04-22
EP0836422A4 EP0836422A4 (fr) 2000-08-16

Family

ID=22254703

Family Applications (1)

Application Number Title Priority Date Filing Date
EP96916426A Withdrawn EP0836422A4 (fr) 1996-03-08 1996-03-08 Dispositif pour suture sous laparoscopie et aiguilles de suture

Country Status (3)

Country Link
EP (1) EP0836422A4 (fr)
AU (1) AU5917696A (fr)
WO (1) WO1997037594A1 (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2465631A (en) * 2008-11-28 2010-06-02 Orthomimetics Ltd Arthroscope with depth gauge
JP5441396B2 (ja) * 2008-12-09 2014-03-12 国立大学法人 香川大学 内視鏡用器具および内視鏡用縫合装置
WO2012068005A1 (fr) * 2010-11-15 2012-05-24 Ethicon Endo-Surgery, Inc. Aiguille pour dispositif de suture laparoscopique
ES2627582T3 (es) * 2013-02-22 2017-07-28 Medeon Biodesign, Inc. Sistemas para aplicar suturas percutáneas

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4210724C1 (en) * 1992-04-01 1993-07-22 Rema-Medizintechnik Gmbh, 7201 Duerbheim, De Surgical instrument with expander in shaft portion - has expanding member mounting eccentrical on pinion meshing with central gear on shaft passing through stem
EP0568098A2 (fr) * 1992-04-30 1993-11-03 LaserSurge, Inc. Dispositif pour obturer des plaies de trocart
WO1994005213A1 (fr) * 1992-09-04 1994-03-17 Laurus Medical Corporation Systeme de suture endoscopique
US5374275A (en) * 1993-03-25 1994-12-20 Synvasive Technology, Inc. Surgical suturing device and method of use
US5403329A (en) * 1992-09-23 1995-04-04 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5437680A (en) * 1987-05-14 1995-08-01 Yoon; Inbae Suturing method, apparatus and system for use in endoscopic procedures
EP0668056A1 (fr) * 1994-02-22 1995-08-23 SMITH & NEPHEW DYONICS INC Sonde de suture

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3799169A (en) 1972-05-11 1974-03-26 Ethicon Inc Lateral release suture

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5437680A (en) * 1987-05-14 1995-08-01 Yoon; Inbae Suturing method, apparatus and system for use in endoscopic procedures
DE4210724C1 (en) * 1992-04-01 1993-07-22 Rema-Medizintechnik Gmbh, 7201 Duerbheim, De Surgical instrument with expander in shaft portion - has expanding member mounting eccentrical on pinion meshing with central gear on shaft passing through stem
EP0568098A2 (fr) * 1992-04-30 1993-11-03 LaserSurge, Inc. Dispositif pour obturer des plaies de trocart
WO1994005213A1 (fr) * 1992-09-04 1994-03-17 Laurus Medical Corporation Systeme de suture endoscopique
US5403329A (en) * 1992-09-23 1995-04-04 United States Surgical Corporation Instrument for closing trocar puncture wounds
US5374275A (en) * 1993-03-25 1994-12-20 Synvasive Technology, Inc. Surgical suturing device and method of use
EP0668056A1 (fr) * 1994-02-22 1995-08-23 SMITH & NEPHEW DYONICS INC Sonde de suture

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO9737594A1 *

Also Published As

Publication number Publication date
AU5917696A (en) 1997-10-29
EP0836422A4 (fr) 2000-08-16
WO1997037594A1 (fr) 1997-10-16

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