Suturing method for penetrating hole

• US 20070073322A1
• Filed: 09/28/2005
• Published: 03/29/2007
• Est. Priority Date: 09/28/2005
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Medical Systems Corporation (Olympus Corporation)
• Inventors: Mikkaichi, Takayasu, Iwasaka, Masayuki
• Granted Patent: US 7,875,041 B2
• Time in Patent Office: Days
• US Class Current: 606/153
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/047 having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
• CPC Class Codes: A61B 2017/06095 pliable

Abstract

A suturing method for a penetrating hole formed in a luminal organ using a suture material to close the penetrating hole according to the present invention includes the steps of: inserting a needle at a position that is removed from the open edge of the penetrating hole by a distance that is less than the thickness of the wall of the luminal organ and passing the needle through the wall; sending out from the needle an anchor affixed to the end of the suture material; placing the anchor in place by pulling the needle through the wall and passing the suture material through the wall; and tightening the suture material after passing the suturing material in the same direction through the wall at multiple sites interposing the penetrating hole.

Claims

1. A suturing method for a penetrating hole formed in a luminal organ using a suture material to close the penetrating hole comprising the steps of:

inserting a needle at a position that is removed from the open edge of said penetrating hole by a distance that is less than the thickness of the wall of said luminal organ, and passing said needle through said wall;

sending out from said needle an anchor affixed to the end of the suture material;

placing said anchor in place by pulling said needle through said wall and passing said suture material through said wall; and

tightening said suture material after passing said suturing material in the same direction through said wall at multiple sites interposing said penetrating hole.

2. A suturing method for a penetrating hole according to claim 1, wherein said luminal organ is a digestive organ, and said needle is inserted from the mucosa side of said digestive organ.

3. A suturing method for a penetrating hole according to claim 1, wherein said step of tightening said suture material includes a step of apposing each of the insertion points formed in said wall when said needle is inserted.