Running stitch suturing device
First Claim
Patent Images
1. A surgical suturing instrument comprising:
- a housing having a handle and an actuating member;
an elongated guide member attached to the housing, and having a distal end;
first and second needles extending from the housing through the shaft to the distal end;
a selector for selectively coupling the actuating member to a selected one of the first and second needles
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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
84 Claims
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1. A surgical suturing instrument comprising:
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a housing having a handle and an actuating member;
an elongated guide member attached to the housing, and having a distal end;
first and second needles extending from the housing through the shaft to the distal end;
a selector for selectively coupling the actuating member to a selected one of the first and second needles - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60)
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61. A surgical suture comprising:
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a length of suture material having a first end;
a ferrule attached to the first end of the length of suture;
a protective sleeve covering a portion of the ferrule and a portion of the length of suture to protect the suture end from damage. - View Dependent Claims (62, 63)
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64. A ferrule assembly for attaching to an end of a length of surgical suture comprising:
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a generally cylindrical ferrule having a needle receiving opening;
a leader connected to the ferrule. - View Dependent Claims (65, 66, 67, 68, 69, 70, 71)
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72. A method of tying a closed loop of suture having a ferrule end and a free end using a surgical suturing instrument having a jaw comprising the steps of:
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a) passing the ferrule end of the suture through a tissue section;
b) passing the ferrule end over the free end above the loop;
c) positioning the free end inside the jaw so that the ferrule end passes under the free end; and
d) drawing the ferrule end through the loop. - View Dependent Claims (73, 74, 75, 76, 77, 78, 79, 80)
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81. A surgical suturing instrument comprising:
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a housing having a handle and an actuating member;
an elongated guide member attached to the housing and having a distal end;
a reciprocally movable needle extending from the housing through the elongated guide member to the distal end;
an actuator coupled between the actuating member and the needle for successively moving the needle between an extended position and a retracted position, and rotating the needle.
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82. A surgical suturing instrument comprising:
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a ferrule holding tip adjacent to a tissue receiving gap;
a reciprocally movable needle movable across the tissue receiving gap to engage the ferrule holding tip;
a ferrule stripper movable between a first position in proximity with the needle for stripping a ferrule off the needle and a second position. - View Dependent Claims (83, 84)
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Specification