Meniscus and soft tissue repair device and method of use

• US 20030204194A1
• Filed: 07/12/2002
• Published: 10/30/2003
• Est. Priority Date: 04/26/2002
• Status: Active Grant

• Current Assignee: Edward S. Bittar
• Original Assignee: Edward S. Bittar
• Inventors: Bittar, Edward S.
• Granted Patent: US 6,997,933 B2
• Time in Patent Office: Days
• US Class Current: 606/144
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus

Abstract

A device for repairing a meniscus or soft tissue. A needle having a suture strand attached thereto is affixed to the distal end of an introducer. The introducer is adapted to be inserted through a hollow main body to position the needle proximate a damaged portion of the meniscus. At the proximal ends of the introducer and main body, there is a thumb ring and a pair of finger rings that can be manipulated by the user to position the device and to pierce the meniscus with the needle. The needle is frictionally affixed to the introducer and can be removed by the user after piercing the meniscus and the outer skin of the patient. With the device, a pair of needles having a suture strand joining the needles can be inserted through the meniscus and across the damaged area and the strands of the suture affixed together.

Claims

1. A device for the piercing of a needle through a patient'"'"'s tissue, said device comprising a main body having a distal end, a proximal end and a passageway therethrough, an introducer adapted to pass through said passageway of said main body, said introducer having a distal end and a proximal end, said distal end of said introducer having a socket formed therein configured to receive and releasably retain a needle within said socket, said distal end of said introducer adapted to extend outwardly from the distal end of said main body when said introducer is within said passageway, and a means located at the proximal ends of said introducer and said main body to enable a user to grasp and manipulate the movement of said introducer within said main body to pierce the tissue of the patient with a needle.

2. A device as defined in claim 1 wherein said distal end of said main body is a smooth rim to enable said main body to be introduced atraumatically into a patient.

3. A device as defined in claim 1 wherein said main body is malleable so as to be bendable into differing shapes.

4. A device as defined in claim 1 wherein said socket is formed to frictionally engage a needle.

5. A device as defined in claim 1 wherein said means located at the proximal end of said introducer to enable a user to grasp and manipulate the introducer comprises a thumb ring.

6. A device as defined in claim 5 wherein said means located at the proximal end of said main body to enable a user to grasp and manipulate the introducer comprises a pair of finger rings.

7. A device as defined in claim 1 wherein said proximal end of said main body is flared to allow easy entry of the introducer.

8. A device as defined in claim 6 wherein said socket is dimensioned to receive and retain a needle by frictional engagement.

9. A device as defined in claim 1 wherein said socket has a slit formed therein along at least substantially the length of said socket to allow a suture strand to extend outwardly from the slit when a needle is fitted within said socket.

10. A device as defined in claim 1 wherein said main body is a malleable material constructed of a plastic or metal material.

11. A method of passing a needle having a suture affixed to a needle through the tissue of a patient, said method comprising the steps of:

providing a hollow elongated main body having a distal end and a proximal end,

providing an introducer having a distal end and a proximal end and adapted to interfit within the hollow elongated main body,

affixing a needle to the distal end of the introducer;

inserting the introducer through the main body such that the distal end retaining the needle extends outwardly from the distal end of the main body,

extending the introducer to pass the needle through the tissue of a patient by manipulating the proximal ends of the introducer and the main body with respect to each other,

removing the needle from the distal end of the introducer after the needle has passed through the tissue of a patient.

12. A method as defined in claim 11 wherein said step of extending the introducer comprises pushing the proximal end of the introducer inwardly with respect to the main body.

13. A method as defined in claim 11 wherein said step of providing an introducer comprises providing an introducer having a means at the proximal end to retain a finger of a user.

14. A method as defined in claim 11 wherein said step of providing an introducer comprises providing an introducer having a socket at the distal end thereof and said step of affixing a needle to the introducer comprises frictionally engaging a needle within the socket.

15. A method as defined in claim 14 wherein said step of providing an introducer having a socket at the distal end comprises providing a socket having a slit formed in the socket along at least substantially the length of the socket.

16. A method as defined in claim 15 wherein said step affixing a needle to the distal end of the introducer comprises threading the suture affixed to the needle outwardly through the slit in the socket.

17. A method of repairing a tear in the tissue of a patient by passing a first and second needle having a suture affixed between the needles through the tissue of a patient, said method comprising the steps of:

(a) providing a hollow elongated main body having a distal end and a proximal end,

(b) providing a introducer having a distal end and a proximal end and adapted to interfit within the hollow elongated main body,

(c) affixing the one of said needles to the distal end of the introducer;

(d) inserting the introducer through the main body such that the distal end retaining the needle extends outwardly from the distal end of the main body,

(e) extending the introducer to pass the needle through the tissue of a patient by manipulating the proximal ends of the introducer and the main body with respect to each other,

(f) removing the needle from the distal end of the needle after the needle has passed through the tissue of a patient.

(g) repeating steps (a) through (f) with the other of the needles; and

(h) securing together the ends of the suture strands joined to each of said needles to close the tear in a patient'"'"'s tissue.

18. A method as defined in claim 17 wherein said step of securing the ends of the suture strands together comprises tying a knot in the suture strands.

19. A method as defined in claim 17 wherein said step of providing an introducer comprises providing an introducer having a socket at the distal end thereof and said step of affixing a needle to the introducer comprises frictionally engaging a needle within the socket.

20. A method as defined in claim 17 wherein said step of providing an introducer having a socket at the distal end comprises providing a socket having a slit formed in the socket along at least substantially the length of the socket

21. A method as defined in claim 17 wherein said step of securing the ends of the suture strands together comprises welding the ends of the suture strands together.