SURGICAL INSTRUMENT, KIT AND METHOD FOR CREATING MATTRESS-TYPE STITCHES
First Claim
1. A surgical instrument for creating a mattress-type suture stitch comprising:
- a handle assembly;
a first pathway;
a second pathway spaced from the first pathway;
a surgical fastener having a first anchor portion carried by the first pathway, a second anchor portion carried by the second pathway, and a filament extending between the first and second anchor portions; and
means for simultaneously moving both anchors of the surgical fastener out of the first and second pathways.
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Accused Products
Abstract
A surgical kit includes an applicator instrument and a needle assembly. The needle assembly provides two spaced pathways and carries a surgical fastener. One anchor of the surgical fastener is carried by one of the pathways and another anchor of the fastener is carried by the other pathway. A filament connects the two anchors of the fasteners and extends between the pathways. The applicator allows for simultaneous insertion of both anchors of the fastener at spaced locations with the filament extending from both anchors in the tissue and over the surface of the tissue or of a therapeutic implant fixated to the tissue. The needle assemblies may be removed from the applicator. The kit may include several needle assemblies that may be attached to the applicator in series to create a plurality of mattress-type stitches.
113 Citations
32 Claims
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1. A surgical instrument for creating a mattress-type suture stitch comprising:
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a handle assembly; a first pathway; a second pathway spaced from the first pathway; a surgical fastener having a first anchor portion carried by the first pathway, a second anchor portion carried by the second pathway, and a filament extending between the first and second anchor portions; and means for simultaneously moving both anchors of the surgical fastener out of the first and second pathways. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A surgical kit for creating mattress-type stitches in a patient, the kit comprising:
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a surgical applicator instrument; and a plurality of needle assemblies, each needle assembly including a first needle, a second needle and a surgical fastener having a first anchor carried by the first needle, a second anchor carried by the second needle, and a filament extending between the first anchor and the second anchor, each needle having a pointed distal end, the needle assembly including a proximal end; wherein each needle assembly and the surgical applicator instrument include structures for removably mounting the proximal end of the needle assembly to the surgical applicator instrument. - View Dependent Claims (20, 21, 22)
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23. A surgical kit comprising a plurality of pre-packaged needle assemblies, each needle assembly comprising a first needle, a second needle and a surgical fastener, wherein:
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the first needle includes a pointed distal end portion and a slotted portion; the second needle includes a pointed distal end portion and a slotted portion; the surgical fastener includes a first anchor carried within the slotted portion of the first needle, a second anchor carried within the slotted portion of the second needle, and a filament extending between the first anchor and the second anchor. - View Dependent Claims (24, 25, 26)
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27. A method of creating a mattress-type stitch comprising:
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providing a surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; simultaneously inserting the first anchor and the second anchor into tissue at a surgical site, wherein the first anchor and second anchor are simultaneously inserted at spaced locations and at least a portion of the filament extends over the outer surface of the tissue. - View Dependent Claims (28)
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29. A method of creating a mattress-type stitch comprising:
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providing a surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; inserting the first anchor into tissue at a surgical site; inserting the second anchor into the tissue at a site spaced from the insertion of the first anchor; wherein at least a portion of the filament extends over the outer surface of the tissue. - View Dependent Claims (30)
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31. A method of fixating a therapeutic soft tissue implant to native tissue with mattress-type stitches comprising:
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providing a first surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; simultaneously inserting the first anchor and the second anchor of the first surgical fastener through the implant and into the native tissue, wherein the first anchor and second anchors are simultaneously inserted at spaced locations and at least a portion of the filament extends over the outer surface of the implant; providing a second surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; and simultaneously inserting the first anchor and the second anchor of the second surgical fastener through the implant and into the native tissue, wherein the first anchor and second anchors are simultaneously inserted at spaced locations and at least a portion of the filament extends over the outer surface of the implant; wherein the first surgical fastener and second surgical fastener are spaced from each other.
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32. A method of fixating a therapeutic soft tissue implant to native tissue with mattress-type stitches comprising:
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providing a first surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; providing a second surgical fastener having a first anchor, a second anchor and a filament extending between the first and second anchors; inserting the first anchor of the first surgical fastener through the therapeutic soft tissue implant and into the native tissue; inserting the second anchor of the first surgical fastener through the therapeutic soft tissue implant and into the native tissue at a site spaced from the insertion of the first anchor; wherein at least a portion of the filament of the first surgical fastener extends over the outer surface of the therapeutic soft tissue implant; inserting the first anchor of the second surgical fastener through the therapeutic soft tissue implant and into the native tissue; and inserting the second anchor of the second surgical fastener through the therapeutic soft tissue implant and into the native tissue at a site spaced from the insertion of the first anchor and spaced from the first surgical fastener; wherein at least a portion of the filament of the second surgical fastener extends over the outer surface of the therapeutic soft tissue implant.
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Specification