WO1999021489A1 - Aiguille de suture extracorporelle - Google Patents

Aiguille de suture extracorporelle Download PDF

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Publication number
WO1999021489A1
WO1999021489A1 PCT/KR1997/000206 KR9700206W WO9921489A1 WO 1999021489 A1 WO1999021489 A1 WO 1999021489A1 KR 9700206 W KR9700206 W KR 9700206W WO 9921489 A1 WO9921489 A1 WO 9921489A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
extracorporeal
eye
handle
suturing
Prior art date
Application number
PCT/KR1997/000206
Other languages
English (en)
Inventor
Nahm-Gun Oh
Original Assignee
Oh Nahm Gun
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 Oh Nahm Gun filed Critical Oh Nahm Gun
Priority to PCT/KR1997/000206 priority Critical patent/WO1999021489A1/fr
Priority to AU47942/97A priority patent/AU4794297A/en
Publication of WO1999021489A1 publication Critical patent/WO1999021489A1/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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • 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
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B17/06109—Big needles, either gripped by hand or connectable to a handle
    • 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

  • the laparoscopic suturing needle and needle holder have been utilized separately to suture digestive organs. How ever, one often finds ii difficult to separately use them to suture the thick inner abdominal wall near incisional or inguinal hernias under a laparoscope. Therefore, man ⁇ ' surgeons use a stapler to attach the surgical mesh. To our disappointment, the common shallow stapler cannot entirely penetrate the mesh, peritoneum and abdominal wall muscles simultaneously, and while the spiral-shaped deep stapler can fasten the thick layers, its ligation function is sometimes insufficient. Furthermore, this stapling procedure requires a dissection of the peritoneum, and the high cost of the stapler is also a burden. Consequently, a special suturing apparatus is needed to help surgeons to entirely suture the mesh, peritoneum, and abdominal w all muscles simultaneously with common thread under a laparoscope.
  • My extracorporeal suturing needle(ESN) contains a needle eye(A). a cu ed portion(B), a shaft(C), and a handle(D).
  • the shaft transmits power efficienth . and the handle allows for full and easy control of the needle direction.
  • this extracorporeal suturing needle can be inserted into ihe peritoneal cavity to repair incisional(F) or inguinal hernia(H). From there, the curved portion of the needle can penetrate the surgical mesh(G ) as w ell as the entire abdominal wall(E), until its eye on the tip emerges to be threaded w ith common thread(I) outside of the patient's body.
  • the entire thickness of the mesh, peritoneum, and abdominal wall muscles can be easily and simultaneoush sewn with the ESN.
  • the suture can be ligated with the aid of a knot pusher outside of the patient's body with the same common thread as is used in open surgery.
  • Figure 1 indicates my design for the extracorporeal suturing needle, f igure shows the practical application of the ESN to ventral hernia.
  • Figure 3 shows the practical application of the ESN to inguinal hernia.
  • A Needle eye
  • B Curved portion.
  • E Abdominal wall muscle, F Ventral hernia.
  • G Surgical mesh
  • H Inguinal hernia.
  • My extracorporeal suturing needle (Fig. 1) can be used in the laparoscopic repair of incisional or inguinal hernia(Fig. 2 and 3).
  • This needle can be manipulated in a in-and-out motion, unlike other common needles that pass completely through the tissue. With the aid of a laparoscope.
  • this long needle can lie inserted into the abdominal cavity without a trochar. From there, its curved portion can penetrate the surgical mesh and entire abdominal wall, where it can lie threaded and ligated outside of the patient ' s body.

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

Cette invention se rapporte à une aiguille de suture extracorporelle, qui est constituée par une aiguille de suture courbe associée à la pince et au manche (D) du porte-aiguille de façon à former un seul corps allongé. Cette aiguille comporte un chas (A) à sa pointe, une partie courbe (B), une tige (C) et un manche (D). Sa longueur totale atteint environ 35 cm de sorte qu'elle peut être introduite dans la cavité abdominale à l'aide d'un laparoscope. De là, elle peut pénétrer dans toute l'épaisseur du filet chirurgical et de la paroi abdominale jusqu'à ce que le chas (A) à la pointe de l'aiguille émerge hors du corps du patient, pour que l'on puisse y passer un fil et effectuer une ligature. Ainsi, le filet chirurgical, le péritoine et les muscles de la paroi abdominale peuvent être suturés ensemble avec cette aiguille, et on peut y réaliser une ligature avec un fil commun appliqué par voie extracorporelle.
PCT/KR1997/000206 1997-10-29 1997-10-29 Aiguille de suture extracorporelle WO1999021489A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/KR1997/000206 WO1999021489A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture extracorporelle
AU47942/97A AU4794297A (en) 1997-10-29 1997-10-29 Extracorporeal suturing needle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/KR1997/000206 WO1999021489A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture extracorporelle

Publications (1)

Publication Number Publication Date
WO1999021489A1 true WO1999021489A1 (fr) 1999-05-06

Family

ID=19494213

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR1997/000206 WO1999021489A1 (fr) 1997-10-29 1997-10-29 Aiguille de suture extracorporelle

Country Status (2)

Country Link
AU (1) AU4794297A (fr)
WO (1) WO1999021489A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014171700A (ja) * 2013-03-11 2014-09-22 Hirotoshi Nakayama 穿刺針

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0668056A1 (fr) * 1994-02-22 1995-08-23 SMITH & NEPHEW DYONICS INC Sonde de suture
WO1996003083A1 (fr) * 1994-07-22 1996-02-08 Advanced Surgical, Inc. Instrument de suture chirurgicale

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0668056A1 (fr) * 1994-02-22 1995-08-23 SMITH & NEPHEW DYONICS INC Sonde de suture
WO1996003083A1 (fr) * 1994-07-22 1996-02-08 Advanced Surgical, Inc. Instrument de suture chirurgicale

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014171700A (ja) * 2013-03-11 2014-09-22 Hirotoshi Nakayama 穿刺針

Also Published As

Publication number Publication date
AU4794297A (en) 1999-05-17

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