Wound suturing device

• US 20030216755A1
• Filed: 10/22/2002
• Published: 11/20/2003
• Est. Priority Date: 10/22/2001
• Status: Abandoned Application

• Current Assignee: Interventional Therapies L L C
• Original Assignee: Interventional Therapies L L C
• Inventors: Scirica, Paul A., Shikhman, Oleg
• Application Number:
  US10/277,793
• Publication Number:
  US 20030216755A1
• Time in Patent Office: Days
• US Class Current: 606/144
• CPC Class Codes: A61B 17/0057 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 sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections
• CPC Class Codes: A61B 2017/2946 Locking means

Abstract

A wound suturing device is provided, comprising a housing and an elongated shaft connected thereto and at least one needle within the shaft, the at least one needle configured to travel distally across a tissue engaging gap within a tissue engaging section positioned distally from the housing on said shaft, wherein the tissue receiving gap has two opposing surfaces into which one side of a wound can be received, wherein the gap is shaped to have a depth to facilitate the placement of the edge of a wound therein such that at least one surface comprises a stop surface, wherein the stop surface is squared at a middle portion thereof to provide good tactile feel to the surgeon when tissue is engaged.

A trigger mechanism for actuating at least one needle is also provided, the trigger mechanism configured to prevent incomplete needle actuation, the trigger mechanism comprising a housing and a trigger configured to move relative to said housing, at least one track means positioned on one of the trigger and the housing, the at least one track means including a first end portion and a second end portion and a plurality of ratchet teeth between the first and second end portions, and a pin means slideable within the track means as the trigger is actuated in a first direction, the pin means engaging the ratchet teeth as the trigger is actuated, wherein each of the ratchet teeth prevent movement of said trigger in a second direction as the ratchet teeth engage the pin means. An automatic needle sector mechanism is also provided, configured relative to and including a needle trigger mechanism, the automatic needle selector mechanism comprising a trigger mechanism movable relative to a housing, the trigger mechanism engageable with a selector arm such that the engaged selector arm is in a first position prior to actuation of the trigger mechanism, and wherein the engaged selector arm is in a second position subsequent to actuation of the trigger mechanism.

Claims

1. A suturing apparatus, comprising:

a housing and an elongated shaft connected thereto; and

at least one needle within said shaft, the at least one needle configured to travel distally across a tissue engaging gap within a tissue engaging section positioned distally from said housing on said shaft, wherein the tissue receiving gap has two opposing surfaces into which one side of a wound can be received, wherein said gap is shaped to have a depth to facilitate the placement of the edge of a wound therein such that at least one surface comprises a stop surface, wherein said stop surface is squared at a middle portion thereof to provide good tactile feel to the surgeon when tissue is engaged.

2. The suturing apparatus of claim 1, wherein said stop surface has an angle relative to the longitudinal axis of a tissue engaging section of the suturing apparatus, and wherein said angle is between about 85 and 95 degrees.

3. The suturing apparatus of claim 1, wherein a second, opposing wall of said tissue receiving gap has an angle facilitating sliding of tissue across said second wall.

4. The suturing apparatus of claim 3, wherein said angle is between about 40 and 50 degrees relative to the longitudinal axis of the tissue engaging section.

5. The suturing apparatus of claim 3, wherein said angle is between about 25 and 35 degrees relative to the longitudinal axis of the tissue engaging section.

6. The suturing apparatus of claim 1, wherein said tissue engaging section has a size of between about 6 and 8 French.

7. The suturing apparatus of claim 1, further comprising at least one ferrule connected to one end of two ends of a length of suture material or thread, the at least one ferrule positioned distally from the at least one needle across said tissue engaging gap.

8. The suturing device of claim 7, wherein said ferrules have an interior cavity shaped according to one of an oval, triangular and square cross-section.

9. A trigger mechanism for actuating at least one needle, the trigger mechanism configured to prevent incomplete needle actuation, the trigger mechanism comprising:

a housing and a trigger configured to move relative to said housing;

said trigger including at least one track thereon, the at least one track including a first end portion and a second end portion and a plurality of ratchet teeth between said first and second end portions;

the housing including a pin slideable within said track as said trigger is actuated in a first direction, the pin engaging said ratchet teeth as said trigger is actuated, wherein each of said ratchet teeth prevent movement of said trigger in a second direction.

10. The trigger mechanism of claim 9, wherein said trigger includes a second track, the second track connected to said second end portion, the second track configured to accept said pin upon full actuation of said trigger, the second track permitting movement of said trigger in said second direction.

11. The trigger mechanism of claim 9, wherein said trigger includes a plurality of ratcheted tracks and at least one return track permitting trigger movement in said second direction, and wherein said pin is biased to sequentially travel down a first ratcheted track during a first actuation of said trigger, down said return track during resetting of said trigger, and down a second ratcheted track during a second actuation of said trigger.

12. The trigger mechanism of claim 9, wherein said trigger includes a lockout track, said lockout track preventing substantial movement of said trigger in one of said first and said second directions.

13. A trigger mechanism for actuating at least one needle, the trigger mechanism configured to prevent incomplete needle actuation, the trigger mechanism comprising:

a housing and a trigger configured to move relative to said housing;

at least one track means positioned on one of the trigger and the housing, the at least one track means including a first end portion and a second end portion and a plurality of ratchet teeth between said first and second end portions;

a pin means slideable within said track means as said trigger is actuated in a first direction, the pin means engaging said ratchet teeth as said trigger is actuated, wherein each of said ratchet teeth prevent movement of said trigger in a second direction as said ratchet teeth engage said pin means.

14. An automatic needle sector mechanism, configured relative to and including a needle trigger mechanism, said automatic needle selector mechanism comprising:

a trigger mechanism movable relative to a housing, the trigger mechanism engageable with a selector arm such that said engaged selector arm is in a first position prior to actuation of said trigger mechanism, and wherein said engaged selector arm is in a second position subsequent to actuation of said trigger mechanism.

15. The automatic needle selector mechanism of claim 14, wherein said trigger mechanism is configured to actuate a first needle during a first actuation of said trigger mechanism, and wherein upon complete actuation and resetting of said trigger mechanism, said trigger mechanism is configured to actuate a second needle and said engaged selector arm is in said second position.

16. The automatic needle selector mechanism of claim 14, wherein said engaged selector arm is engageable with a rotating needle selection piece, the needle section piece having at least two needles provided in apertures set at least partially radially away from the point of rotation of the needle selection piece, wherein a first needle is configured to be actuated by said trigger mechanism in a first needle selection piece position, and wherein a second needle is configured to be actuated by said trigger mechanism in a second needle selection piece position.