Surgical closure instrument and methods
First Claim
1. A guide device for suturing a tissue, the device comprising:
- an elongate body having a long axis lying within a first plane;
a first passage within the body, having an inlet opening and an outlet opening along an outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the first passage lies within a second plane;
a second passage within the body, having an inlet opening and an outlet opening along the outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the second passage lies within a third plane;
wherein the first, second, and third planes are substantially parallel.
2 Assignments
0 Petitions
Accused Products
Abstract
Surgical instruments, guides, and methods for closure of fascia and other tissue sites are disclosed. A suture passer guide comprises an elongate body with first and second passages for guiding a suture passer. The long axes of the elongate body, the first passage, and the second passage, preferably lie in three separate parallel planes. A suture passer comprises a housing having a needle tip portion and a first suture grasping surface. An elongate body is located at least partially within the housing and is configured to slide within the housing. The elongate body has a second suture grasping surface at the distal end. The first and second suture grasping surfaces preferably are spaced from the needle tip portion.
110 Citations
44 Claims
-
1. A guide device for suturing a tissue, the device comprising:
-
an elongate body having a long axis lying within a first plane;
a first passage within the body, having an inlet opening and an outlet opening along an outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the first passage lies within a second plane;
a second passage within the body, having an inlet opening and an outlet opening along the outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the second passage lies within a third plane;
wherein the first, second, and third planes are substantially parallel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
-
-
13. A medical instrument comprising:
-
a housing having a proximal end and a distal end, the housing having a needle tip portion at the distal end and having a first suture grasping surface spaced proximally from the needle tip portion; and
an elongate body located at least partially within the housing, having a proximal end and a distal end, the elongate body being configured to slide within the housing, the elongate body having a second suture grasping surface at the distal end. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
-
-
29. A medical instrument comprising:
a housing and an actuator, wherein the actuator is positioned at least partially within the housing, a handle is coupled with a proximal end of the housing and with a proximal end of the actuator, a distal end of the housing comprises a needle tip, a first grasper surface is located on the housing and a second grasper surface is located on the actuator, the first and second grasper surfaces are spaced proximally from the needle tip. - View Dependent Claims (30, 31, 32, 33)
-
34. A medical instrument comprising:
-
a housing having a proximal end and a distal end, the housing having a piercing means at the distal end and having a grasping means spaced proximally from the piercing means; and
an actuating means coupled with the grasping means and positioned at least partially within the housing to actuate the grasping means between a closed configuration and an open configuration.
-
-
35. A medical instrument kit comprising:
-
a suture passer guide configured to allow passage of a suture passer through it; and
a suture passer, the suture passer comprising, a housing having a proximal end and a distal end, the housing having a needle tip portion at the distal end and having a first suture grasping surface spaced proximally from the needle tip portion; and
an elongate body located at least partially within the housing having a proximal end and a distal end, the elongate body being configured to slide within the housing, the elongate body having a second suture grasping surface at the distal end. - View Dependent Claims (36)
-
-
37. A medical instrument kit comprising:
-
a suture passer guide comprising, an elongate body having a long axis lying within a first plane;
a first passage within the body, having an inlet opening and an outlet opening along an outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the first passage lies within a second plane; and
a second passage within the body, having an inlet opening and an outlet opening along the outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the second passage lies within a third plane;
wherein the first, second, and third planes are substantially parallel; and
a suture passer configured to pass a suture through the suture passer guide.
-
-
38. A medical instrument kit comprising:
-
a suture passer guide comprising, an elongate body having a long axis lying within a first plane;
a first passage within the body, having an inlet opening and an outlet opening along an outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the first passage lies within a second plane; and
a second passage within the body, having an inlet opening and an outlet opening along the outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the second passage lies within a third plane;
wherein the first, second, and third planes are substantially parallel; and
a suture passer, the suture passer comprising, a housing having a proximal end and a distal end, the housing having a needle tip portion at the distal end and having a first suture grasping surface spaced proximally from the needle tip portion; and
an elongate body located at least partially within the housing having a proximal end and a distal end, the elongate body being configured to slide within the housing, the elongate body having a second suture grasping surface at the distal end.
-
-
39. A method of passing a suture comprising:
-
providing a suture passer having a proximal end and a distal end, the suture passer having a housing and an actuator, wherein the actuator is positioned at least partially within the housing, a handle is coupled with a proximal end of the housing and with a proximal end of the actuator, a distal end of the housing comprises a needle tip, a first grasper surface is located on the housing and a second grasper surface is located on the actuator, the first and second grasper surfaces are spaced proximally from the needle tip;
positioning the second grasper surface near the first grasper surface to hold a portion of a suture outside the patient;
piercing the tissue of a patient at a first location with the needle tip;
passing a portion of the suture into the patient;
releasing a portion of the suture within the patient;
piercing the tissue of a patient at a second location with the needle tip; and
passing a portion of the suture out of the patient. - View Dependent Claims (40, 41, 42)
-
-
43. A medical instrument comprising:
-
a hollow needle having a proximal portion, a distal portion and a notch, wherein the notch is located proximally from a distal tip of the hollow needle; and
a rod positioned at least partially within the hollow needle and movable relative to the notch so as to grasp a portion of a suture within the notch.
-
-
44. A guide device for suturing a tissue, the device comprising:
-
an elongate body having a long axis lying within a first plane;
a passage within the body, having an inlet opening and an outlet opening along an outer surface of the body, wherein the outlet opening is distal to the inlet opening, and wherein a long axis of the passage lies within a second plane;
wherein said passage is configured to allow passage of a suture therethrough;
wherein the first and second planes are substantially parallel; and
wherein the long axis of the body and the long axis of the passage are non-parallel.
-
Specification