ADHESIVES FOR USE WITH SUTURE SYSTEM MINIMIZE TISSUE EROSION

• US 20070233188A1
• Filed: 09/20/2006
• Published: 10/04/2007
• Est. Priority Date: 03/31/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Voegele, James W., Hunt, John V., Widenhouse, Christopher W., Kolata, Ronald J., Turner, Douglas J., Shelton, Frederick E.
• Granted Patent: US 7,740,646 B2
• Time in Patent Office: Days
• US Class Current: 606/228
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/0487 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/00561 creating a vacuum
• CPC Class Codes: A61B 2017/045 snug fit within the anchor
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0619 thermoplastic, e.g. for bonding, welding, fusing or cutting the suture by melting it suture cutters A61B17/0467; ultrasonic cutters A61B17/320068; electrically heated instruments A61B18/08
• CPC Class Codes: A61B 2017/306 holding by means of suction

Abstract

A design for a suture for use in suture appositioning techniques, and a method for use are disclosed. In one embodiment the suture may comprise a hollow length having a wall forming a lumen, which may serve as a conduit through which fluid may be pumped and discharged through a plurality of perforations in the wall. In another embodiment the suture may comprise a plurality of suture members connected by a connecting member. In one embodiment of a method disclosed, a suture having a hollow length having a wall forming a lumen, with a plurality of perforations in the wall, may be placed in a stitching procedure to apposition tissues, and a fluid such as an adhesive, adhesive activating agent or drug may be pumped through the lumen and discharged out the perforations for various beneficial effects.

Claims

1. A device for use in appositioning of tissues, comprising a suture having a hollow length, the hollow length having a wall forming a lumen, the wall having a plurality of perforations therethrough, wherein the suture is operable to be installed into tissues to form at least one stitch in the tissues.

2. The device of claim 1 further comprising a fluid within the lumen.

3. The device of claim 2 wherein the fluid comprises an adhesive.

4. The device of claim 3 wherein the adhesive comprises a cyanoacrylate.

5. The device of claim 3 wherein the adhesive comprises an isocyanate.

6. The device of claim 2 wherein the fluid comprises a drug.

7. The device of claim 2 wherein the fluid comprises an antibiotic.

8. The device of claim 2 wherein the fluid comprises a tissue sclerosing agent.

9. The device of claim 2 wherein the fluid comprises an adhesive activating agent.

10. The device of claim 1 further comprising a pumping fluidly connected to the lumen.

11. The device of claim 10 wherein the pump comprises a syringe.

22. The device of claim 1, further comprising a second suture connected to the first suture by a flexible connecting member.

23. The device of claim 22 wherein the second suture has a hollow length, the hollow length having a wall forming a lumen, the wall having a plurality of perforations therethrough.

12-21. -21. (canceled)