Method of employing surgical suturing apparatus to tie knots
First Claim
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1. A method for forming a knot during endoscopic surgery using a surgical apparatus including the steps of:
- providing a surgical instrument having first and second jaws which open and close and a surgical needle with length of suture attached, the needle operatively connected to the jaws so that it may be passed between them;
passing the needle and a portion of the suture through a piece of tissue to create a first suture portion attached to the needle on one side of the tissue and a second suture portion on the other side of the tissue;
creating a first loop of suture around the second portion of suture using the first portion of suture by passing the needle between the jaws.
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Abstract
The disclosure contemplates a method for using an endoscopic suturing apparatus to conveniently place various knots in suture such as a square knot, a modified fisherman'"'"'s knot, a securing knot, an alternative square knot and a surgeon'"'"'s knot. The knots are formed variously by placing the suture between the jaws or around one jaw and passing the needle from one jaw to the other to be able to draw the suture through loops formed in the suture.
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Citations
16 Claims
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1. A method for forming a knot during endoscopic surgery using a surgical apparatus including the steps of:
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providing a surgical instrument having first and second jaws which open and close and a surgical needle with length of suture attached, the needle operatively connected to the jaws so that it may be passed between them; passing the needle and a portion of the suture through a piece of tissue to create a first suture portion attached to the needle on one side of the tissue and a second suture portion on the other side of the tissue; creating a first loop of suture around the second portion of suture using the first portion of suture by passing the needle between the jaws. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A method for forming a knot using a surgical apparatus including the steps of:
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providing a surgical instrument having a first jaw and a second jaw which open and close, and a surgical needle with length of suture attached, the needle operatively connected to the jaws so that the needle may be passed between them; passing the needle and suture through a piece of tissue to create a first portion of suture attached to the needle on one side of the tissue and a second portion of suture on the other side of the tissue; passing the first portion of suture through a piece of tissue to create a first loop affixed in the tissue; and creating a second loop of suture around the first loop of suture using the first portion of suture by passing the needle from one jaw to the other. - View Dependent Claims (9, 10, 11, 12)
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13. A method for forming a knot using a surgical apparatus including the steps of:
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providing a surgical instrument having a first jaw and a second jaw which open and close and a surgical needle with length of suture attached, the needle operatively connected to the jaws so that it may be passed between them; passing the needle and a portion of the suture through a piece of tissue to create a first suture portion attached to the needle on one side of the tissue and a second suture portion on the other side of suture on either side of the tissue; creating a first loop of suture around the first jaw not holding the needle using the second portion of suture; passing the needle to the first jaw; and pulling the first portion of suture through the first loop of suture. - View Dependent Claims (14)
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15. A method for forming a knot using a surgical apparatus including the steps of:
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providing a surgical instrument having a first jaw and a second jaw which open and close, and a surgical needle with length of suture attached, the needle being operatively connected to the jaws so that it may be passed between them; passing the needle and a portion of the suture through a piece of tissue to create a first portion of suture attached to the needle on one side of the tissue, and a second portion of suture on the other side of the tissue; creating at least two loops of suture around the first jaw not holding the needle using the second portion of suture; passing the needle to the first jaw; and pulling the first portion of suture through the loops of suture formed around the first jaw. - View Dependent Claims (16)
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Specification