Suturing assembly and method

• US 4,553,543 A
• Filed: 03/05/1984
• Issued: 11/19/1985
• Est. Priority Date: 03/05/1984
• Status: Expired due to Fees

• Current Assignee: Disamodha C. Amarasinghe
• Original Assignee: Disamodha C. Amarasinghe
• Inventors: Amarasinghe, Disamodha C.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/586,473
• Time in Patent Office: 624 Days
• Field of Search: 128/339, 128/340, 128/337, 128/335.5, 128/335, 128/334 C, 128/334 R, 128/330, 128/336, 223/102, 223/103, 112/227
• US Class Current: 606/148
• CPC Class Codes: A61B 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/1125 Forceps, specially adapted for performing or assisting anastomosis
• CPC Class Codes: A61B 2017/1132 End-to-end connections

Abstract

A slotted, partially-flared, cylindrically shaped core 12 is mounted inside a tubularly-shaped sleeve 20 with a flared end portion 16 extending out the end of the sleeve 20. A flexible needle 24, which is longer than either the core or the sleeve, is held in each of the core slots 18 by the sleeve, but is allowed freedom of longitudinal movement. Threads 32 attached to the needles are inserted through a wall of a tubular body duct by inserting the flared end portion of the core into the body duct and then forcing the needles to move longitudinally in the slots against the flared end portion so that they bend radially outwardly through the walls of the body duct.

Claims

1. A surgical suturing assembly especially adapted for use in the rejoining of severed tubular body ducts such as blood vessels and the like comprising:

a plurality of flexible suture needle means for piercing the walls of said severed tubular body ducts, passing through these walls, and pulling suture material therethrough;

a core having a first cylindrically-shaped portion defining a plurality of longitudinally oriented slots about the surface thereof and a second flared, slotted, end portion located at the end of said first portion, said second portion, and the slots defined therewith, being continuous with said first portion and its slots such that said slots flare at said flared end portion, each of said slots being of a size for receiving at least one of said needle means, but allowing said needle means freedom for longitudinal movement therein;

a tubularly shaped sleeve for surrounding said first portion of said core, said sleeve being of a size and shape for holding said needle means radially in said slots when said core first portion is fully received in said sleeve, but for allowing said needle means freedom of longitudinal movement in said slots, said needle means being longer than either of said core first portion or said sleeve;

whereby said second, flared portion of said core can be inserted into said severed tubular body duct while said needle means are forced to move in said slots longitudinally against said flared end portion and radially outwardly through the walls of said duct.

2. A surgical suturing assembly as in claim 1 wherein said sleeve is constructed of a plurality of separable parts.

3. A surgical suturing assembly as in claim 2 wherein said separable sleeve parts are held together by a releasable holding means.

4. A surgical suturing assembly as in claim 3 wherein said holding means is a scissors-like clamp.

5. A surgical suturing assembly as in claim 1 wherein said sleeve is tape.

6. A surgical suturing assembly as in claim 1 wherein said assembly includes first and second sets, each having a core, a sleeve, and a plurality of needles arranged as recited, there being suturing threads extending between needles of said respective sets.

7. A surgical suturing assembly as in claim 6 wherein said threads are color coded.

8. A surgical suturing assembly as in claim 6 wherein is further included a guiding means extending between said first and second sets for maintaining the cores of said respective sets in proper orientation one to the other.

9. A surgical suturing assembly as in claim 1 wherein said core has a somewhat pointed end on the opposite side of said flared portion from said cylindrically-shaped portion for enabling an operator to more easily insert the core into a body duct.

10. The process of attaching suturing thread to a severed tubular body duct at multiple points about said duct comprising the steps of:

inserting a flared end of an elongated core into said severed tubular body duct, said elongated core defining a plurality of longitudinally-oriented slots positioned about an outer surface thereof and located adjacent said flared end, each of said slots being of a size for receiving a needle therein, but for allowing said needle freedom for longitudinal movement therein;

driving a plurality of needles longitudinally along said slots, each needle being in a separate one of said slots and each needle having a distal, pointed end and a proximal end attached to a suturing thread, said distal pointed ends being driven into said severed tubular body duct against said flared surface of said core thereby causing said needles to bend outwardly and be driven through the wall of said tubular body duct at said multiple points; and

forcing said needles and threads through the wall of said tubular body duct at said multiple points about said severed tubular body duct.

11. A process as recited in claim 10 wherein a portion of said core is surrounded by a tubularly-shaped sleeve to guide said needles longitudinally along said core against said flared portion and through the walls of said body duct.