Automatic instrument for purse-string sutures for surgical use

• US 4,915,107 A
• Filed: 02/27/1989
• Issued: 04/10/1990
• Est. Priority Date: 03/09/1988
• Status: Expired due to Fees

• Current Assignee: Harley International Medical Limited
• Original Assignee: Harley International Medical Limited
• Inventors: Rebuffat, Carlo, Rosati, Riccardo
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/316,299
• Time in Patent Office: 407 Days
• Field of Search: 128/340, 128/334 R
• US Class Current: 606/144
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0491 Sewing machines for surgery
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/1142 Purse-string sutures

Abstract

This invention relates to an automatic instrument for purse-string sutures for surgical use, comprising two toothed jaws provided with openings having side slots for through passage of the needles carrying the ends of a suture thread fastened thereto. Said jaws are integral with a pair of support members adapted to be opened in order to be able to introduce the part to be sutured therebetween. Said support members carry a pair of flexible wires having one end wound around a pair of coaxial drums controlled by means of a knob, while the opposite ends are each connected to a needle, in such a way that by actuating the knob, the flexible wires unwind from the drums and push the needles through the jaw openings all the way to make the needle ends to project out of the ends of the jaws.

Claims

1. An automatic instrument for purse-string sutures for surgical use, including two jaws (1, 2) having teeth (8, 9) provided with openings (10, 11) having a side slot (12), each of said openings (10, 11) being adapted to receive a needle (13) passing therethrough, the ends of a suture thread (14) being fastened to said needles (13), said jaws (1, 2) being integral with support members (3, 4) adapted to be opened in order to be able to introduce the part to be sutured between said jaws, characterized in that said support members (3, 4) are provided with a pair of control means which at one end thereof are fastened to a knob (7) while at the opposite end they are each fastened to a needle (13) in such a way that, by actuating said knob (7), needles (13) are pushed by said means along openings (10, 11) provided through jaws (1, 2), all the way to make needles (13) to project out of the free ends (29) of said jaws (1, 2).

2. The instrument of claim 1, characterized in that said knob (7) is integrally fastened to a pair of coaxial drums (5, 6), said control means comprising a pair of flexible wires (16, 17) being wound around said drums in the disabled position of said knob, while they unwind when said knob (7) is operated for the purpose of pushing said flexible wires (16, 17) along openings (10, 11) of jaws (1, 2).

3. The instrument of claim 2, characterized in that both jaws (1, 2) and needles (13) are straight, the latter having a length no shorter than the length of the intermediate cavities between adjacent teeth of each jaw (1, 2).

4. The instrument of claim 2, characterized in that each drum (5, 6) is provided, for the winding of flexible wires (16, 17), with a circumferential slot (21) closed by a fixed cover (22, 23), said covers being each provided with a short slot (24), said slots (24) communicating with thin channels (19, 20) managed through said support members (3, 4), said thin channels (19, 20) slidably receiving flexible wires (16, 17) while the latter unwind out of circumferential slots (21) when knob (7) is rotated in the unwinding direction.

5. The instrument of claim 4, characterized in that said fixed covers (22, 23) of the pair of drums (5, 6) are provided with a central opening (25), and through each of said openings there is received a hub (26) integral with each drum (5, 6) and in that said hubs (26) are provided with coupling means (27) adapted to engage or disengage said drums (5, 6) relative to each other, whereby said drums may be rotated as an integral assembly by means of said knob (7), in the direction of unwinding said wires (16, 17) out of said circumferential slots (21).

6. The instrument of claim 4, characterized in that said thin channels (19, 20) wherein flexible wires (16, 17) are slidably received, may be provided in the molding stage of said supports (3, 4) or they may be applied thereto as small gauge tubes.

7. The instrument of claim 3, characterized in that each jaw (1, 2) forms an angle relative to its own support member (3, 4) through a circularly radiused transition part (18) wherein said flexible wires (16, 17) are slidably received and extend on one side towards said drums (5, 6) while on the opposite side they are fastened to said needles (13) and to the ends of suture thread (14), the latter being contained in a protective small diameter tube (15).

8. The instrument of claim 1, characterized in that said support members (3, 4) are hingedly connected to each other at the end located opposite to said jaws (1, 2) and in that one of said support members is provided with a first constant width longitudinal slot (31), while the other support member is provided with a second slot overlapping the first slot, and having the same width of the latter at the end thereof located on the side of the jaws (1, 2), whereas proceeding towards the support members hinged connection, said slot (32) gradually widens whereby a control knob (33) slidably received within both slots (31, 32), when located at the position where both slots have the same width, causes the pair of jaws (1, 2) to close, whereas at the position of larger width of said slot, the pair of support members (3, 4) and therefore jaws (1, 2) can open in order to enable the part to be sutured to be introduced therebetween.

9. The instrument of claim 2, characterized in that there is provided a disposable plastic material central core containing said flexible wires (16, 17), said nedlees (13) and said suture thread (14), said core being inserted between said pair of hingedly connected support members (3, 4), preferably made of metal, provided with jaws (1, 2) and with control drums (5, 6), said support members (3, 4) being adapted to be durably used, each time with a new central core.

10. The instrument of claim 2, characterized in that the diameter of said suture thread (14) is smaller than the height of said slots (12) and the latter height is smaller than the diameter of flexible wires (16, 17), and in that said diameter is smaller than the diameter of openings (10, 11) receiving needles (13) therethrough.

11. The instrument of claim 4, characterized in that the diameter of circumferential slots (21) of drums (5, 6) is such that, to a three quarter of a turn rotation of knob (7) there corresponds such a forward motion of flexible wires (16, 17) to make needles (13) to project out of free end (29) of said jaws (1, 2).

12. The instrument of claim 4, characterized in that between said drums (5, 6) and stationary covers (22, 23) there is provided means (34) adapted to prevent rotation of drums (5, 6) in a direction opposite to the unwinding direction of flexible wires (16, 17) relative to circumferential slots (21).