Sew-right running stitch instrument
First Claim
Patent Images
1. A surgical suturing instrument comprising:
- (a) an elongated shaft;
(b) a tissue engaging gap formed proximal to an end of the shaft;
(c) a needle reciprocally movable across the gap from a proximal end of the gap to a distal end of the gap;
(d) the needle having a ferrule engaging tip (e) a ferrule receiving aperture at a distal end of the gap for selectively holding and releasing the ferrule so that in a first mode, the needle engages the ferrule and draws a suture across the gap, and in a second mode, the ferrule is retained in the aperture and the needle separates from the ferrule and is retracted across the gap leaving the ferrule in the aperture.
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Abstract
An instrument and method for suturing wound closures is provided having a handle, shaft and suture engagement mechanism. The instrument provides for multiple placements or “bites” of suture in tissues to enable a wide variety of suturing techniques, including the ability to “run” a suture. The instrument further facilitates suture knot tying. The method of this instrument provides for rapid and effective remote suture placement and knot tying.
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Citations
45 Claims
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1. A surgical suturing instrument comprising:
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(a) an elongated shaft;
(b) a tissue engaging gap formed proximal to an end of the shaft;
(c) a needle reciprocally movable across the gap from a proximal end of the gap to a distal end of the gap;
(d) the needle having a ferrule engaging tip (e) a ferrule receiving aperture at a distal end of the gap for selectively holding and releasing the ferrule so that in a first mode, the needle engages the ferrule and draws a suture across the gap, and in a second mode, the ferrule is retained in the aperture and the needle separates from the ferrule and is retracted across the gap leaving the ferrule in the aperture. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A surgical suturing instrument for placing multiple suture loops comprising:
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(a) an elongated shaft;
(b) a reciprocating suture pickup member mounted on said shaft;
(c) a suture holder engaged by said reciprocating suture pick up member for selectively coupling a suture to the pick up member for drawing the suture through a first tissue section and releasing the suture from the pick up member for repeated coupling and drawing the suture through a second tissue section spaced from the first tissue section. - View Dependent Claims (23, 24, 25, 26, 27, 28, 29, 30, 31)
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32. A surgical suturing instrument comprising:
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(a) a reciprocating tissue penetrating member;
(b) a suture holder;
(c) means for alternately coupling the reciprocating tissue penetrating member to the suture holder for drawing a length of suture through a tissue section and releasing the reciprocating tissue penetrating member from the suture holder. - View Dependent Claims (33, 34, 35, 36)
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37. A method of closing a wound comprising:
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(a) disposing a suture on one side of a section of tissue proximal to the wound;
(b) passing a needle through the section of tissue proximal to the wound;
(c) capturing the suture with the needle;
(d) drawing the suture through the section of tissue;
(e) releasing the suture from the needle; and
(f) repeating steps b-e. - View Dependent Claims (38, 39, 40, 41, 42, 43)
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- 44. A method of securing a suture at a wound site comprising passing the end of the suture through a bolster and securing the suture with the bolster disposed between the end of the suture and the wound.
Specification