SUTURE APPLICATOR
First Claim
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1. A surgical suture applicator comprising:
- a first lever including a first jaw arm thereon;
a second jaw arm;
a pivotal connection between said first lever and said second jaw arm;
an actuator lever;
means releasably connecting said actuator lever to said second jaw arm to transmit pivotal movement thereto;
a needle slidably carried in said second jaw arm from a retracted position within said second jaw arm to a suturing position extended therefrom toward said first jaw arm;
a needle-receiving passageway in the end of said first jaw arm;
a supply of suture on said second jaw arm;
means on the end of said second jaw arm outward of said needle for gripping a length of suture from said supply across the path of said needle;
means operable to disengage said releasable connecting means when said jaw arms have pivoted to a relatively closed position; and
means then operable to restrain further relative movement between said jaw arms;
means responsive to further pivotal movement of said actuator lever toward said first lever for moving said needle into said suturing position; and
means on the end of said needle for grasping said length of suture during said movement.
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Abstract
The disclosure is of a suturing clamp in which the jaws are moved toward each other to a pre-set position wherein the flesh is firmly, but not too tightly clamped. A bifurcated needle is moveably carried on one of the jaws and a length of suture is extended from a bobbin on the clamp to a grip at the end of the jaw. After the pre-set clamping position is reached, further operation drives the needle across the space between the jaws to carry a length of suture with it.
465 Citations
10 Claims
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1. A surgical suture applicator comprising:
- a first lever including a first jaw arm thereon;
a second jaw arm;
a pivotal connection between said first lever and said second jaw arm;
an actuator lever;
means releasably connecting said actuator lever to said second jaw arm to transmit pivotal movement thereto;
a needle slidably carried in said second jaw arm from a retracted position within said second jaw arm to a suturing position extended therefrom toward said first jaw arm;
a needle-receiving passageway in the end of said first jaw arm;
a supply of suture on said second jaw arm;
means on the end of said second jaw arm outward of said needle for gripping a length of suture from said supply across the path of said needle;
means operable to disengage said releasable connecting means when said jaw arms have pivoted to a relatively closed position; and
means then operable to restrain further relative movement between said jaw arms;
means responsive to further pivotal movement of said actuator lever toward said first lever for moving said needle into said suturing position; and
means on the end of said needle for grasping said length of suture during said movement.
- a first lever including a first jaw arm thereon;
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2. The surgical suture application defined by claim 1 wherein:
- the end of said needle is bifurcated.
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3. The surgical suture applicator defined by claim 1 including:
- a reel carrying said supply of suture rotatably carried on said second jaw arm.
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4. The surgical suture applicator defined by claim 3 including:
- a magazine containing said reel and said suture gripping means releasably carried on said second jaw arm.
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5. The surgical suture applicator defined by claim 1 including:
- a clamp slidably carried on said first jaw arm;
spring means normally biasing said clamp across said passageway;
a camming surface on said clamp engageable by said needle moving into said suturing position to retract said clamp against said spring means; and
a gripping surface on said clamp to prevent withdrawal of a length of suture carried into said passageway by said needle.
- a clamp slidably carried on said first jaw arm;
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6. The surgical suture applicator defined by claim 1 wherein said releasable connecting means comprises:
- a latch member carried on said second jaw arm engaging a surface on said actuator lever to form the connection therewith to transmit said pivotal movement through a predetermined angle toward said first jaw arm.
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7. The surgical suture applicator defined by claim 1 wherein said needle moving means comprises:
- a pusher rod pivotally connected between said actuator lever and said needle and slidable along said second jaw arm.
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8. The surgical suture applicator defined by claim 7 wherein:
- said needle is of arcuate configuration, and including;
a complementary, arcuate slideway in the end of said second jaw arm Opening toward said needle-receiving passageway.
- said needle is of arcuate configuration, and including;
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9. The surgical suture applicator defined by claim 1 wherein:
- said suture grasping means comprises a bifurcation at the end of said needle.
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10. The surgical suture applicator defined by claim 1 wherein:
- said suture gripping means comprises a narrow slot at the end of said second jaw arm extending longitudinally thereof.
Specification