SURGICAL CLAMPING DEVICE AND METHODS THEREOF

• US 20150257756A1
• Filed: 03/13/2014
• Published: 09/17/2015
• Est. Priority Date: 03/13/2014
• Status: Abandoned Application

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: LSI Solutions, Inc.
• Inventors: Sauer, Jude S.
• Application Number:
  US14/207,839
• Publication Number:
  US 20150257756A1
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/2833 Locking means
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00964 composite
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61B 2017/2808 Clamp, e.g. towel clamp
• CPC Class Codes: A61B 2017/2825 Inserts of different material in jaws
• CPC Class Codes: A61B 2017/2829 with a removable cover
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A surgical device has first and second clamp jaws, at least one of which is pivotable relative to the other. The surgical device also has first and second locking suture guides configured to receive at least one locking suture for knotting to hold the first and second clamp jaws in a clamped position.

Claims

1. A surgical device, comprising:

first and second clamp jaws, at least one of which is pivotable relative to the other;

first and second locking suture guides configured to receive at least one locking suture for knotting to hold the first and second clamp jaws in a clamped position.

2. The surgical device of claim 1, wherein:

the first clamp jaw comprises a first pivot point between a first clamping surface and the first locking suture guide; and

the second clamp jaw comprises a second pivot point between a second clamping surface and the second locking suture guide.

3. The surgical device of claim 1, wherein:

the first clamp jaw comprises a first clamping surface between the first locking suture guide and a first pivot point; and

the second clamp jaw comprises a second clamping surface between the second locking suture guide and a second pivot point.

4. The surgical device of claim 1, wherein:

the first clamp jaw comprises the first locking suture guide between a first clamping surface and a first pivot point; and

the second clamp jaw comprises the second locking suture guide between a second clamping surface and a second pivot point.

5. The surgical device of claim 1, wherein the first and second clamp jaws have respective pivot points which share a common pivot axis.

6. The surgical device of claim 1, wherein the first and second clamp jaws have respective pivot points which do not share a common pivot axis.

7. The surgical device of claim 1, further comprising at least one suture retainer configured to resist separation of the at least one locking suture from the first or second clamp jaws.

8. The surgical device of claim 1, wherein the at least one suture retainer comprises a tapered channel.

9. The surgical device of claim 1, further comprising:

an introducer shaft coupled to at least one of the first and second clamp jaws.

10. The surgical device of claim 9, wherein the introducer shaft is pivotably coupled to said at least one of the first and second clamp jaws.

11. The surgical device of claim 9, further comprising an articulator configured to allow the first and second clamp jaws to articulate with respect to the introducer shaft.

12. The surgical device of claim 9, wherein the introducer shaft is removably coupled to said at least one of the first and second clamp jaws.

13. The surgical device of claim 12, further comprising:

a housing coupled to at least one of the first and second clamp jaws; and

wherein the housing comprises one or more introducer connection points whereby the introducer shaft is removably coupled to said at least one of the first and second clamp jaws by being removably coupled to one of the one or more introducer connection points.

14. The surgical device of claim 13, wherein at least one of the one or more introducer connection points is located in a non-centered position on the housing.

15. The surgical device of claim 13, further comprising an introducer locking feature.

16. The surgical device of claim 13, wherein the introducer locking feature comprises:

a tie-down suture connection point on the housing;

at least one cleat coupled to the introducer shaft; and

a tie-down suture for coupling to the tie-down suture connection point at a first end of the tie-down suture and for removably attaching to the at least one cleat at a second end of the tie-down suture.

17. The surgical device of claim 1, wherein the knotting to hold the first and second clamp jaws in a clamped position comprises at least one mechanical knot.

18. The surgical device of claim 1, further comprising at least one opening connection point configured to receive an opening suture for opening one or more of the first and second clamp jaws.

19. The surgical device of claim 1, further comprising at least one closing connection point configured to receive a closing suture for closing one or more of the first and second clamp jaws.

20. The surgical device of claim 19, wherein:

at least one of the first and second locking suture guides comprise the at least one closing connection point; and

the at least one locking suture comprises the closing suture.

21. A surgical device, comprising:

a) first and second clamp jaws, at least one of which is pivotable relative to the other;

b) first and second locking suture guides configured to receive at least one locking suture for knotting to hold the first and second clamp jaws in a clamped position;

c) a housing coupled to at least one of the first and second clamp jaws, wherein the housing comprises a plurality of introducer connection points;

d) an introducer shaft removably and pivotably coupled to at least one of the introducer connection points;

e) an articulator configured to articulate the housing with respect to the introducer shaft; and

f) an introducer locking feature comprising;

1) a tie-down suture connection point on the housing;

2) at least one cleat coupled to the introducer shaft; and

3) a tie-down suture for coupling to the tie-down suture connection point at a first end of the tie-down suture and for removably attaching to the at least one cleat at a second end of the tie-down suture.

22. The surgical device of claim 21, further comprising:

at least one mechanical knot for said knotting to hold the first and second clamp jaws in a clamped position.

23. A surgical device, comprising:

a) a housing comprising a first pivot point and a second pivot point;

b) a first clamp jaw comprising a first clamping surface and a first locking suture guide, wherein the first clamp jaw is pivotable on the first pivot point at a location between the first clamping surface and the first locking suture guide;

c) a second clamp jaw comprising a second clamping surface and a second locking suture guide, wherein the second clamp jaw is pivotable on the second pivot point at a location between the second clamping surface and the second locking suture guide;

1) wherein the first and second locking suture guides are configured to receive at least one locking suture for knotting to hold the first and second clamping surfaces in a clamped position; and

d) at least one suture retainer configured to resist separation of the at least one locking suture from the first or second clamp jaws.