Sewing device

• US 5,080,663 A
• Filed: 09/26/1990
• Issued: 01/14/1992
• Est. Priority Date: 09/26/1990
• Status: Expired due to Term

• Current Assignee: University College London (University of London)
• Original Assignee: University College London (University of London)
• Inventors: Brown, Geoffrey, Swain, Christopher P., Mills, Timothy N.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/589,000
• Time in Patent Office: 475 Days
• Field of Search: 606/144, 606/145, 606/148, 606/117, 606/139, 112/169, 112/199
• US Class Current: 606/144
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/6882 Anchoring means
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A sewing device is described for use in surgical procedures inside a patient, which can be used without the need to make an external incision in the patient. The device comprises a slot to which suction is applied at a plurality of locations to suck in a double-layer of tissue, and a needle for passing a tag into and through the double layer. The tag may have an article attached thereto, for example a sensor/transmitter.

Claims

1. A sewing device for attaching an article to the interior tissue of a patient, which comprises a body provided with means for releasably holding the article, and a stitching means provided on the body for attaching the article to the interior tissue of the patient, wherein the releasable holding means comprises a cavity formed in the body and open to the exterior thereof, and wherein the cavity is provided with an expelling means operable to urge the article out of the cavity.

2. A device according to claim 1, wherein the said expelling means comprises a spring member located in the cavity, and a spring holding member movable between a first position in which it prevents the spring member urging the article out of the cavity and a second position in which it permits the spring member to urge the article out of the cavity.

3. A device according to claim 1, comprising means, provided on the body, for holding a U-shaped double layer of tissue, the stitching means being adapted to attach the said article to the tissue.

4. A device according to claim 3, wherein the means for holding the said double layer comprises a slot formed in the body and open to the exterior thereof and means for applying suction to the slot.

5. A sewing device for use in surgical procedures, comprising a body having an external surface, means provided on the body for holding a U-shaped double layer of tissue, and stitching means for inserting into and through the tissue a stitch member to form a single discrete stitch, said stitch member being in the form of a tag and having a head portion, a crosspiece and a connecting portion connecting said head portion and said crosspiece, and wherein the device has a body adapted to hold said tag, with said tag having a rest position in which it does not extend beyond the external surface of the body, the device being provided with a head-retaining member which is movable from a rest position to a head-releasing position in which the head of said tag extends beyond said external surface, and wherein the stitching means comprises an elongate needle movable from a first position corresponding to a rest position to a second position in which at least the tip of the needle passes through the tissue, said needle having a longitudinal bore therein which communicates with the exterior of said needle via a longitudinal slot at least over a portion of the needle adjacent the tip, whereby said cross-piece of said tag can be received in the longitudinal bore, said stitching means further comprising a pushing member movable longitudinally within the longitudinal bore to expel the cross-piece therefrom after the tip of said needle has passed through the tissue.

6. A device according to claim 5, wherein the said body is recessed on the external surface thereof to receive the head and connecting portion of the tag.

7. A device according to claim 6, wherein the head of the tag is retained on the recessed external surface by said head retaining member, which is movable from a head retaining position to said head releasing position.

8. A device according to claim 7, wherein the body is hollow and has a pair of pistons therein which are movable longitudinally independently of one another, one piston carrying the needle and head-retaining member, and the other piston carrying the pushing member.

9. A device according to claim 5 which comprises a body, and wherein the means for holding a U-shaped double layer of tissue comprises a slot formed in the body and open to the exterior thereof and means for applying suction to the slot.

10. A device according to claim 9, wherein the suction applying means is effective to apply suction to the slot at a plurality of locations.

11. A device according to claim 5, which comprises a body, and wherein the body is provided with means for releasably holding an article to be attached to said tissue by the said stitch member.

12. A device according to claim 11, wherein the releasable holding means comprises a cavity formed in the body and open to the exterior thereof.

13. A device according to claim 12, wherein said expelling means comprises a spring member located in a cavity, and has a spring holding member movable between a first position in which it prevents the spring member urging the said article out of the cavity and a second position in which it permits the spring member to urge the said article out of the cavity.

14. A device according to claim 10, wherein the cavity is provided with an expelling means operable to urge the article out of the cavity.

15. A sewing device for use in surgical procedures, comprising means for holding a U-shaped double layer of tissue, and stitching means for inserting into and through the double layer a stitch member to form a single discrete stitch, said device including a body and wherein the body is provided with means for releasably holding an article to be attached to the double layer of tissue by said stitch member, said releasable holding means comprising a cavity formed in said body and open to the exterior thereof, said cavity having a spring member therein, and wherein said device has a spring holding member movable between a first position in which it prevents the spring member urging the article out of the cavity and a second position in which it permits the spring member to urge the article out of the cavity.