Mechanism for endoscopic suturing device

• US 5,478,345 A
• Filed: 08/19/1994
• Issued: 12/26/1995
• Est. Priority Date: 08/19/1994
• 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., Farascioni, David, Zlock, Stephen W.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/293,234
• Time in Patent Office: 494 Days
• Field of Search: 606/144, 221/113, 221/119-122, 221/133, 206/338-341, 206/63.3, 206/438, 206/382, 222/144
• 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 17/06123 Flat cylinders, e.g. including an inner reel
• 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

Abstract

A loading unit is disclosed for supplying multiple surgical needles or surgical incision members and associated lengths of suture material for positioning the needle or surgical incision member within the jaws of a surgical suturing apparatus. The loading unit generally includes a body portion having apparatus receiving structure for receipt of the surgical suturing apparatus and a carousel rotatably affixed to the body portion and containing a plurality of supply stations thereon. The supply stations generally include a support member for supporting a central portion of a surgical needle and a storage member for temporarily securing a length of suture material associated with the surgical needle. The apparatus receiving structure includes structure for aligning and maintaining the surgical suturing apparatus in position on the loading unit until such time as a surgical incision member has been inserted into jaws associated with the surgical suturing apparatus. Preferably, the apparatus receiving structure includes structure for gasping an elongate portion of the surgical suturing apparatus and structure for supporting jaw members associated with the surgical suturing apparatus. Additionally, in a preferred embodiment, the suture storage members consist of a suture reel which is positioned in a plane offset from the needle support members.

Claims

1. A loading unit for supplying a plurality of surgical needles to a surgical suturing apparatus comprising:

a) a body portion having apparatus receiving structure formed thereon; and

b) at least one supply station configured to hold a surgical needle and movably mounted with respect to the body portion, the at least one supply station mounted for movement between a first position adjacent the apparatus receiving structure and a second position remote from the apparatus receiving structure.

2. The loading unit as recited in claim 1, wherein the at least one supply station is positioned on a carousel rotatably affixed to the body portion.

3. The loading unit as recited in claim 2, further comprising indexing structure connected to the carousel and the body portion to frictionally maintain the at least one supply station in alignment with the apparatus receiving structure.

4. The loading unit as recited in claim 3, wherein said index structure includes a portion of the carousel defining a detent therein and a flexible finger formed on the body portion and positioned to engage the detent when the supply station is correctly aligned with the apparatus receiving structure.

5. The loading unit as recited in claim 2, wherein the carousel includes three supply stations.

6. The loading unit as recited in claim 1, wherein the apparatus receiving structure includes a pair of tabs formed on the body portion for receipt of an elongate portion of the surgical suturing apparatus and an abutment structure also formed on the body portion to engage a distal end of the elongate portion, the pair of tabs and abutment structure aligning jaws associated with the distal end of the elongate portion about the surgical needle.

7. The loading unit as recited in claim 1, wherein the apparatus receiving structure includes a pair of walls formed on the body portion and defining a recess there between for receipt and support of a pair of jaws associated with the distal end portion of the surgical suturing apparatus.

8. The loading unit as recited in claim 1, wherein the at least one supply station includes a mounting member for releasably supporting the surgical needle by a central portion thereof.

9. The loading unit as recited in claim 8, wherein the at least one supply station further includes a storage member for holding a portion of a length of suture material affixed to the surgical needle.

10. The loading unit as recited in claim 9, wherein the storage member is a suture reel rotatably affixed to the carousel.

11. The loading unit as recited in claim 10, wherein the mounting member is in a first plane on the carousel and the suture reel is located in a second plane on the carousel offset from the first plane.

12. The loading unit as recited in claim 11, wherein the first plane is vertically offset with respect to the second plane.

13. The loading unit as recited in claim 11, wherein the suture reel includes structure to releasably hold a suture anchor associated with the length of suture material.

14. The loading unit as recited in claim 8, further comprising a safety mechanism including a pair of blocking members disposed adjacent the mounting member, the blocking members preventing vertical removal of jaws associated with the surgical suturing apparatus from the supply station until the surgical needle has been fully grasped by the jaws.

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

22. Method of claim 1 wherein the needle is a surgical incision member.

16. A loading unit for supplying multiple surgical needles and each connected to a length suture to a surgical suturing apparatus comprising:

a) a body portion having apparatus receiving structure for receipt of at least a portion of a surgical suturing apparatus;

b) a carousel rotatably affixed to the body portion; and

c) a plurality of supply stations on the carousel.

17. The loading unit as recited in claim 16, wherein the supply stations include a mounting member for releasably supporting a central portion of a surgical needle and a storage member for temporarily securing a portion of a length of suture associated with the surgical needle.

18. The loading unit as recited in claim 17, wherein the storage member is a suture reel rotatably affixed to the carousel.

19. The loading unit as recited in claim 16, further comprising index structure associated with the body portion and carousel for temporarily maintaining one of the supply stations in alignment with the apparatus receiving structure.

20. The loading unit as recited in claim 16, wherein the surgical needle is a surgical incision member.

21. A method of successively supplying surgical needles to a surgical suturing apparatus comprising:

a) providing a loading unit having apparatus receiving structure on a body portion thereof and a carousel, containing a plurality of supply stations and rotatably mounted on the body portion, each supply station having a mounting member releasably supporting a surgical needle;

b) aligning a supply station adjacent the apparatus receiving structure;

c) positioning at least a distal end of a surgical suturing apparatus within the apparatus receiving structure such that jaws associated with the surgical suturing apparatus are positioned adjacent the mounting member;

d) closing the jaws to firmly grasp the surgical needle therebetween; and

e) pulling the surgical needle free of the mounting member.