WO1994028801A1 - Dispositif de suture - Google Patents

Dispositif de suture Download PDF

Info

Publication number
WO1994028801A1
WO1994028801A1 PCT/DE1994/000655 DE9400655W WO9428801A1 WO 1994028801 A1 WO1994028801 A1 WO 1994028801A1 DE 9400655 W DE9400655 W DE 9400655W WO 9428801 A1 WO9428801 A1 WO 9428801A1
Authority
WO
WIPO (PCT)
Prior art keywords
sewing device
sewing
rod
shells
needle
Prior art date
Application number
PCT/DE1994/000655
Other languages
German (de)
English (en)
Inventor
Karl Storz
Original Assignee
Karl Storz Gmbh & Co.
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 Karl Storz Gmbh & Co. filed Critical Karl Storz Gmbh & Co.
Priority to DE4493862D priority Critical patent/DE4493862D2/de
Priority to DE4493862A priority patent/DE4493862C1/de
Publication of WO1994028801A1 publication Critical patent/WO1994028801A1/fr

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
    • A61B17/0482—Needle or suture guides
    • 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
    • A61B17/0491—Sewing machines for surgery

Definitions

  • the invention relates to a sewing device according to the preamble of claim 1.
  • instruments have been proposed that are designed like pliers.
  • the sewing needle is clamped into the forceps mouth and inserted into the abdominal cavity, for example, together with a sewing thread. After piercing both wound edges with the sewing needle, it is pulled out of the abdomen together with the thread. Then a knot is made outside of the body, which is moved to the tissue with the help of a knot pusher.
  • the invention is based on the object of specifying a sewing device for medical applications, with which human and / or animal tissue can be sewn in a short time easily and without interference, even without great practice.
  • the sewing device has at least one shell which can receive and guide at least one sewing needle and which partially encompasses a rod or a rod.
  • the sewing needle By rotating the at least one shell, the sewing needle can be pushed through the tissue to be sewn.
  • the shell can be rotated together with the rod or the rod.
  • the shell (s) can be rotated around the rod at least along a circumferential segment. In this case the rod cannot be made rotatable.
  • At least two shells surround the rod.
  • the sewing needle In order to "push" the sewing needle together with the sewing thread attached to it through the tissue, the sewing needle is transferred from one shell to the other shell after it has passed through the tissue to be sewn. By further turning the other Ren shell is moved the sewing needle further, so that a complete seam can be created.
  • the sewing needle In order to pull the thread through the fabric several times, the sewing needle can again be "taken over" by the first shell, so that the sewing needle can be pushed through the fabric again in the same way as described above.
  • the longitudinal offset of the seams in the longitudinal direction can be generated by a displacement of the sewing device as a unit or by a displacement of the shell (s) relative to the rod or the rod of the sewing device.
  • the sewing device is inserted, for example, into the patient's abdominal cavity and brought close to the wound edges to be sewn.
  • the edges of the wound are then pressed together using tweezers or a forceps-like instrument while the seam is being sewn. Only two knots are now required, which can either be knotted by the sewing device or, as is customary, knotted outside the body by the patient and then pushed to the tissue with a knot pusher.
  • the motors can be controlled by relays or by an electronic control unit.
  • the device according to the invention has the further advantage that it can be constructed in such a way that all parts of the device can be disinfected individually and / or together.
  • 5 shows a section through a shell in side view
  • 6 shows a side view of a further exemplary embodiment of a sewing device according to the invention with two motors
  • FIG. 7 is a top view of the sewing device shown in FIG. 6.
  • FIG. 1 show a first embodiment of a sewing device according to the invention.
  • the sewing device for medical applications and in particular for sewing tissue in minimally invasive surgery has two shells 4a and 4b, which partially or rod 3, i.e. on a circle sector of - in the exemplary embodiment shown - surrounded by 90 ° (see FIG. 2).
  • Each of the two shells is designed in such a way that it can receive and guide a sewing needle 6 with a thread attached to it - in the exemplary embodiment shown circularly curved.
  • the motors 1 and 2 shown schematically in FIG. 1 are provided for rotating the shells 4a and 4b.
  • the motors 1 and 2 are operatively connected to the ends of the shells 4a and 4b via gear segments 11 (FIG. 4).
  • Fig. 2 the sewing needle 6 is in the right shell 4a.
  • the sewing device is ready to push the sewing needle 6 through the tissue, not shown, to be sewn, which is located in the upper area of the sewing device between the two shells 4 a and 4 b.
  • the shells 4a and 4b rotate around the rod 3 towards one another.
  • the needle 6 is located in a channel 8a of the shell 4a and is fixed in this channel via a cam 12a and a plunger 9a (FIG. 3).
  • the disc 4a now moves counterclockwise with the needle 6 towards the disc 4b, which rotates clockwise. "As a result, the needle 6 is pushed through the tissue and introduced into a channel 8b in the shell 4b.
  • the plunger 9a releases the needle and a plunger 9b fixes the needle in via a cam 12b Channel 8b at the same time the direction of movement of the disks is reversed, pulling the needle completely out of the fabric while the sewing thread is being pulled through the fabric.
  • the needle is again transferred from the channel 8b of the shell 4b into the channel 8a of the shell 4a.
  • This can be done immediately by a suitable choice of the length of the needle or, if the needle is somewhat shorter, by repeated repositioning.
  • the needle 6 in this embodiment of the sewing device is fundamentally longer than the channels 8a and 8b.
  • the transfer of the needle is carried out such that it slips from one shell to the next shell at the time of transfer. For this it is necessary that the shells move on different levels.
  • the slipping movement can also e.g. done again by tappets or cams.
  • a disc 4c connected directly or indirectly to the shaft of a motor can accommodate the sewing needle 6.
  • the needle 6 is fixed in the channel 8c while the disk is moving counterclockwise, the needle making a stitch.
  • the needle is fixed there and released from the disk 4c.
  • the disk now moves clockwise until the disk reaches the needle holder 4d.
  • There the needle is taken over again and moved a little bit counterclockwise. After re-reaching, another stitch can be carried out.
  • the fixation of the needle 6 in the channel 8d of the needle holder device 4d can also be done mechanically by means of a plunger.
  • the ring gear of the movable Disk 4c can, for example, also be inside instead of at the edge. This makes it possible to attach one of the motors centrally.
  • the device according to the invention with more or fewer motors and also to arrange the motors differently than indicated in the figures.
  • mount the motors at the other end of the sewing device, e.g. in the grip area, to attach and to move the moving parts of the head of the sewing device via suitable drives 3 and joints. If an eccentric arrangement of the components of the sewing device is desired, this is also possible.
  • the arrangement of the parts of the sewing device is not limited to a circular shape, but is e.g. an ellipsoidal design is also possible. It should be noted that the sewing needle must be elastic.
  • control of the movable components of the presented sewing devices according to the invention is advantageously carried out with relays.

Abstract

Un dispositif de suture pour des applications médicales sert notamment à suturer des tissus pendant des interventions chirurgicales à invasivité minime. Le dispositif de suture se caractérise en ce qu'au moins une coque (4a, 4b) capable de recevoir et de guider au moins une aiguille de suture (6) entoure partiellement une barre ou une tige (3).
PCT/DE1994/000655 1993-06-11 1994-06-13 Dispositif de suture WO1994028801A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
DE4493862D DE4493862D2 (de) 1993-06-11 1994-06-13 Nähvorrichtung
DE4493862A DE4493862C1 (de) 1993-06-11 1994-06-13 Nähvorrichtung

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DEP4319390.0 1993-06-11
DE4319390 1993-06-11

Publications (1)

Publication Number Publication Date
WO1994028801A1 true WO1994028801A1 (fr) 1994-12-22

Family

ID=6490132

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE1994/000655 WO1994028801A1 (fr) 1993-06-11 1994-06-13 Dispositif de suture

Country Status (2)

Country Link
DE (1) DE4493862C1 (fr)
WO (1) WO1994028801A1 (fr)

Cited By (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19518015A1 (de) * 1995-05-17 1996-11-21 Karlsruhe Forschzent Auf den Schaft eines chirurgischen Instruments aufsetzbares Nähgerät für die Endoskopie
US5603718A (en) * 1994-03-31 1997-02-18 Terumo Kabushiki Kaisha Suturing device
US5951575A (en) * 1996-03-01 1999-09-14 Heartport, Inc. Apparatus and methods for rotationally deploying needles
US7338504B2 (en) 2002-10-03 2008-03-04 Gibbens Group, L.L.C. Cycling suturing and knot-tying device
CN103494625A (zh) * 2013-08-30 2014-01-08 北京中法派尔特医疗设备有限公司 一种自动荷包钳
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US9301747B2 (en) 1999-03-04 2016-04-05 Abbott Laboratories Articulating suturing device and method
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US11116483B2 (en) 2017-05-19 2021-09-14 Merit Medical Systems, Inc. Rotating biopsy needle
CN113543725A (zh) * 2019-02-22 2021-10-22 爱惜康股份有限公司 用于装载缝合针的缝合针包和使缝合针穿过套管针的方法
US11793498B2 (en) 2017-05-19 2023-10-24 Merit Medical Systems, Inc. Biopsy needle devices and methods of use
US11844500B2 (en) 2017-05-19 2023-12-19 Merit Medical Systems, Inc. Semi-automatic biopsy needle device and methods of use

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103494623B (zh) * 2013-08-30 2016-02-24 北京中法派尔特医疗设备有限公司 荷包钳及其缝合装置

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0535906A2 (fr) * 1991-09-30 1993-04-07 Margaret Pamela Richardson Dispositif de suture
EP0552430A1 (fr) * 1992-01-20 1993-07-28 Storz, Karl, Dr.med. h.c. Instrument avec un porte-aiguille du type pince

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4109658A (en) * 1977-02-04 1978-08-29 Hughes Joe L Needle holding device with pick-up means

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0535906A2 (fr) * 1991-09-30 1993-04-07 Margaret Pamela Richardson Dispositif de suture
EP0552430A1 (fr) * 1992-01-20 1993-07-28 Storz, Karl, Dr.med. h.c. Instrument avec un porte-aiguille du type pince

Cited By (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5603718A (en) * 1994-03-31 1997-02-18 Terumo Kabushiki Kaisha Suturing device
DE19518015C2 (de) * 1995-05-17 1998-01-15 Karlsruhe Forschzent Auf den Schaft eines chirurgischen Instruments aufsetzbares Nähgerät für die Endoskopie
DE19518015A1 (de) * 1995-05-17 1996-11-21 Karlsruhe Forschzent Auf den Schaft eines chirurgischen Instruments aufsetzbares Nähgerät für die Endoskopie
US5951575A (en) * 1996-03-01 1999-09-14 Heartport, Inc. Apparatus and methods for rotationally deploying needles
US9993237B2 (en) 1999-03-04 2018-06-12 Abbott Laboratories Articulating suturing device and method
US9301747B2 (en) 1999-03-04 2016-04-05 Abbott Laboratories Articulating suturing device and method
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US8690898B2 (en) 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US10052098B2 (en) 2002-05-22 2018-08-21 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US7338504B2 (en) 2002-10-03 2008-03-04 Gibbens Group, L.L.C. Cycling suturing and knot-tying device
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
US10245022B2 (en) 2003-09-26 2019-04-02 Abbott Laboratories Device and method for suturing intracardiac defects
US10413288B2 (en) 2003-12-23 2019-09-17 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US9861355B2 (en) 2004-06-16 2018-01-09 Smith & Nephew, Inc. Suture passing
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US11647997B2 (en) 2010-09-01 2023-05-16 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US10463353B2 (en) 2010-09-01 2019-11-05 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US11154293B2 (en) 2012-04-10 2021-10-26 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US10111653B2 (en) 2012-05-31 2018-10-30 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US10980531B2 (en) 2012-05-31 2021-04-20 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US11839351B2 (en) 2012-05-31 2023-12-12 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
CN103494625A (zh) * 2013-08-30 2014-01-08 北京中法派尔特医疗设备有限公司 一种自动荷包钳
CN103494625B (zh) * 2013-08-30 2016-02-24 北京中法派尔特医疗设备有限公司 一种自动荷包钳
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method
US10426449B2 (en) 2017-02-16 2019-10-01 Abbott Cardiovascular Systems, Inc. Articulating suturing device with improved actuation and alignment mechanisms
US11793498B2 (en) 2017-05-19 2023-10-24 Merit Medical Systems, Inc. Biopsy needle devices and methods of use
US11116483B2 (en) 2017-05-19 2021-09-14 Merit Medical Systems, Inc. Rotating biopsy needle
US11844500B2 (en) 2017-05-19 2023-12-19 Merit Medical Systems, Inc. Semi-automatic biopsy needle device and methods of use
CN113543725A (zh) * 2019-02-22 2021-10-22 爱惜康股份有限公司 用于装载缝合针的缝合针包和使缝合针穿过套管针的方法

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