Surgical suturing apparatus with loading mechanism

• US 5,478,344 A
• Filed: 08/19/1994
• Issued: 12/26/1995
• Est. Priority Date: 10/08/1993
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Stone, Corbett W., Nicholas, David A., Zlock, Stephen W.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/293,233
• Time in Patent Office: 494 Days
• Field of Search: 606/144, 206/63.3, 206/339, 206/346, 206/341, 221/191
• 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 17/0491 Sewing machines for surgery
• CPC Class Codes: A61B 17/06114 Packages or dispensers for needles or sutures packages for sharps A61B50/3001; for dental floss A61C15/043; packages for needles in general B65D85/24
• CPC Class Codes: A61B 17/06123 Flat cylinders, e.g. including an inner reel
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/0053 Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/0479 Packages or dispensers for MIS suturing instruments
• CPC Class Codes: A61B 2017/06019 by means of a suture-receiving lateral eyelet machined in the needle
• CPC Class Codes: A61B 2017/06033 using adhesives
• CPC Class Codes: A61B 2017/06047 located at the middle of the needle
• CPC Class Codes: A61B 2017/06085 having a blunt tip
• CPC Class Codes: A61B 2017/0609 having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

A surgical apparatus is provided for manipulating a surgical needle and an associated loading mechanism is provided for replacing the surgical needle. The surgical apparatus comprises an elongated body portion, first and second jaw elements extending from the body portion, securing means for securing the surgical needle, releasing means cooperating with the securing means for releasing the surgical needle and locking means cooperating with the securing means for preventing at least one of the jaw elements from moving. A loading mechanism is also provided and includes structure for supporting a surgical needle and a storage member for retaining at least a portion of a length of suture material attached to the surgical needle.

Claims

1. A loading unit for use with a surgical suturing apparatus comprising:

a) a body portion defining an inner cavity;

b) a mounting member positioned on the body portion and configured to releasably hold a surgical needle; and

c) apparatus receiving structure formed in the body portion wherein the apparatus receiving structure is configured to receive at least a distal end portion of the surgical suturing apparatus in operative alignment with the mounting member to facilitate mounting of the surgical needle in the surgical suturing apparatus.

2. The loading unit as recited in claim 1, wherein the mounting member is configured to hold the surgical needle transversely with respect to the mounting member such that when a pair of suturing jaws connected with a surgical suturing apparatus are positioned within apparatus receiving structure and adjacent the mounting member the jaws are movable from an open position spaced apart from the needle to a closed position to grasp the surgical needle.

3. The loading unit as recited in claim 2, further comprising:

a suture storage member mounted in the inner cavity, the suture storage member releasably holding at least a portion of a suture affixed to the surgical needle.

4. The loading unit as recited in claim 3, wherein at least a portion of the body portion defines a guide notch for guiding the suture from the storage member to the surgical needle.

5. The loading unit as recited in claim 4, wherein the suture extends from the storage member through an aperture in the body portion to the surgical needle.

6. The loading unit as recited in claim 5, wherein the storage member comprises a suture reel rotatably mounted within the inner cavity of the body portion.

7. The loading unit as recited in claim 6, further comprising a biasing member formed in the body portion and engageable with the suture reel to maintain the suture reel in position within the body portion.

8. The loading unit as recited in claim 2, wherein the mounting member includes a pair of flexible fingers configured to releasably grasp a center portion of the surgical needle.

9. The loading unit as recited in claim 2, further comprising a pair of spaced apart alignment tabs on the body portion, the tabs guiding an elongate portion of the surgical suturing apparatus into position on the body portion to align the jaws within the recesses.

10. The loading unit as recited in claim 2, further comprising a safety mechanism on the body portion, the safety mechanism preventing the removal of the jaws from the body portion when the jaws are partially closed toward the surgical needle.

11. The loading unit as recited in claim 10, wherein the safety mechanism includes a pair of blocking members defining a passageway therebetween, the blocking members being positioned adjacent the mounting member and above the surgical needle held thereon, such that the passageway allows removal of the jaws from the body portion when the jaws are in the closed position to grasp the surgical needle.

12. The loading unit as recited in claim 2, further comprising a handle member extending from the body portion.

13. The loading unit as recited in claim 1, wherein the surgical needle is a surgical incision member.

14. A loading unit for use with a surgical suturing apparatus having an elongate member and a pair of needle grasping jaws thereon comprising:

a) a body portion;

b) a mounting member positioned on the body portion and configured to releasably hold a surgical needle transversely with respect thereto, the mounting member supporting the surgical needle above the body portion, by a central portion thereof so as to define a recess adjacent either side of the mounting member;

, and

c) a suture reel movably mounted within the body portion, the suture reel releasably retaining at least a portion of a suture attached to the surgical needle.

15. The loading unit as recited in claim 14, wherein at least a portion of the body portion defines a guide notch for guiding the suture from the suture reel to the surgical needle.

16. The loading unit as recited in claim 15, further comprising a pair of spaced apart alignment tabs, the tabs being configured to grasp an elongate portion of a surgical suturing apparatus and align jaws connected with the surgical suturing apparatus within the recesses such that the jaws are movable within the recesses from an open position spaced from the surgical needle to a closed position about the surgical needle.

17. The loading unit as recited in claim 16, further comprising a safety mechanism for preventing removal of the jaws from the recesses when the surgical needle is only partially grasped by the jaws.

18. The loading unit as recited in claim 17, further comprising a handle affixed to the body portion to facilitate manipulation of the body portion by a user.

19. The loading unit as recited in claim 14, wherein the surgical needle is a surgical incision member.

20. A method of loading a surgical needle having a length of suture attached thereto into a surgical suturing apparatus comprising:

a) providing a loading unit having a body portion, the body portion including apparatus receiving structure;

b) releasably supporting a surgical needle above the body portion of the loading unit;

c) positioning a pair of open grasping jaws within the apparatus receiving structure and about the surgical needle;

d) closing the jaws about the surgical needle to grasp the surgical needle between the jaws; and

e) removing the surgical needle from the loading unit.

21. The method of claim 20 further comprising the step of blocking the removal of the surgical needle until the jaws have been fully closed about the surgical needle.

22. The method according to claim 20, wherein the step of positioning the pair of open grasping jaws about the surgical needle further comprises the step of aligning an elongate portion of the suturing apparatus connected with the jaws on the loading unit.