Laparoscopic suture snare

• US 5,501,692 A
• Filed: 01/28/1994
• Issued: 03/26/1996
• Est. Priority Date: 01/28/1994
• Status: Expired due to Term

• Current Assignee: Riza, Erol D.
• Original Assignee: Riza, Erol D.
• Inventors: Riza, Erol D.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/188,439
• Time in Patent Office: 788 Days
• Field of Search: 606/139, 606/148, 606/144, 606/110, 606/113, 606/126, 606/133, 606/151, 606/187, 606/1, 606/222-227, 112/169, 112/80.03
• US Class Current: 606/148
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0485 Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop

Abstract

An instrument for facilitating the use of sutures in laparoscopic surgical procedures includes a hollow housing defining an internal cavity. A plunger extends within the cavity of the housing and is supported therein for relative sliding movement between first and second axial positions. A spring disposed within the cavity urges the plunger to the first axial position relative to the housing. An introducer needle is secured to the housing and extends co-axially therefrom, terminating in an angled tip having a sharp point. An actuator tube is disposed within the introducer needle and is secured to the plunger for axial movement therewith relative to the housing. A flexible wire is disposed within portions of the actuator tube and is secured thereto for axial movement with the plunger. The wire is folded back over itself to form a looped end. When the plunger is in the first axial position, the looped end of the wire is withdrawn within the angled end of the introducer needle. When the plunger is moved to the second axial position, the looped end of the wire is extended outwardly from the angled end of the introducer needle. The looped end of the wire is permanently deformed in a diamond-like shape to facilitate usage when extended outwardly from the introducer needle.

Claims

1. A suture snare instrument comprising:

a hollow housing defining an internal cavity;

an introducer needle having a first end secured to said hollow housing and a second end, said second end terminating in a sharp point to permit the insertion thereof through body tissue;

a plunger extending within said hollow housing and supported for sliding movement relative thereto between first and second positions;

a spring engaged with said plunger to urge said plunger toward said first position and

a wire disposed within said introducer needle and connected to said plunger for movement therewith, said wire having a looped end which is retracted within said second end of said introducer needle when said plunger is in said first position and which extends outwardly from said second end of said introducer needle when said plunger is in said second position.

2. The suture snare instrument defined in claim 1 wherein said spring is disposed within said internal cavity of said hollow housing and reacts between said hollow housing and said plunger to urge said plunger toward said first position.

3. The suture snare instrument defined in claim 1 further including cooperating structures formed on said hollow housing and said plunger for selectively retaining said plunger in said second position.

4. The suture snare instrument defined in claim 3 wherein said cooperating structures include a slot formed in said hollow housing and a pin formed on said plunger.

5. The suture snare instrument defined in claim 4 wherein said plunger is rotatable relative to said hollow housing when said plunger is in said second position such that said pin is selectively received within said slot to retain said plunger in said second position.

6. The suture snare instrument defined in claim 5 wherein said slot includes a first portion, through which said pin is moved when said plunger is moved between said first and second positions relative to said hollow housing, and a second portion, through which said pin is moved when said plunger is rotated relative to said hollow housing when in said second position.

7. The suture snare instrument defined in claim 6 wherein said pin is moved through said second portion of said slot when said plunger is rotated in a first rotational direction relative to said hollow housing, and wherein said slot further includes a third portion, through which said pin is moved when said plunger is rotated in a second rotational direction relative to said hollow housing.

8. The suture snare instrument defined in claim 1 wherein said second end of said introducer needle extends at an angle relative to said first end.

9. The suture snare instrument defined in claim 8 further including a flange extending outwardly from said hollow housing and having a fiat formed thereon for providing a tactile indication of said angle of said second end of said introducer needle relative to said first end.

10. The suture snare instrument defined in claim 1 further including cooperating structures formed on said hollow housing and said plunger for preventing said plunger from being ejected from said housing.

11. The suture snare instrument defined in claim 10 wherein said cooperating structures include an inwardly extending ridge formed on said hollow housing and an outwardly extending ridge formed on said plunger.

12. The suture snare instrument defined in claim 11 wherein said inwardly extending ridge extends circumferentially about said hollow housing and wherein said outwardly extending ridge extends circumferentially about said plunger.

13. The suture snare instrument defined in claim 1 wherein said looped end of said wire includes a pair of diverging leg portions and a pair of converging leg portions.

14. The suture snare instrument defined in claim 13 wherein said diverging leg portions define an interior angle of about thirty-five degrees, and wherein said converging leg portions define an interior angle of about thirty-five degrees.

15. The suture snare instrument defined in claim 13 wherein said looped end of said wire includes a U-shaped bight portion joining said converging leg portions.

16. The suture snare instrument defined in claim 1 further including cooperating structures formed on said hollow housing said plunger for limiting relative rotational movement therebetween.

17. The suture snare instrument defined in claim 16 wherein said cooperating structures include a recess formed in a surface of said hollow housing and a web portion formed on said plunger which extends into said recess for limiting relative rotational movement therebetween.

18. The suture snare instrument defined in claim 1 further including an enlarged head formed on said plunger having a plurality of raised fibs formed thereon.

19. A suture snare instrument comprising:

a hollow housing defining an internal cavity;

an introducer needle having a first end secured to said hollow housing and a second end which extends at an angle relative to said first end;

a plunger extending within said hollow housing and supported for sliding movement relative thereto between first and second positions;

a wire disposed within said introducer needle and connected to said plunger for movement therewith, said wire having a looped end which is retracted within said second end of said introducer needle when said plunger is in said first position and which extends outwardly from said second end of said introducer needle when said plunger is in said second position; and

a flange extending outwardly from said hollow housing and having a flat formed thereon for providing a tactile indication of the angle at which said second end of said introducer needle extends relative to said first end thereof.

20. The suture snare instrument defined in claim 19 further including a spring engaged with said plunger for urging said plunger toward said first position.

21. The suture snare instrument defined in claim 20 wherein said spring is disposed within said internal cavity of said hollow housing and reacts between said hollow housing and said plunger for urging said plunger toward said first position.

22. The suture snare instrument defined in claim 19 further including cooperating structures formed on said hollow housing and said plunger for selectively retaining said plunger in said second position.

23. The suture snare instrument defined in claim 22 wherein said cooperating structures include a slot formed in said hollow housing and a pin formed on said plunger.

24. The suture snare instrument defined in claim 23 wherein said plunger is rotatable relative to said hollow housing when said plunger is in said second position such that said pin is selectively received within said slot to retain said plunger in said second position.

25. The suture snare instrument defined in claim 24 wherein said slot includes a first portion, through which said pin is moved when said plunger is moved between said first and second positions relative to said hollow housing, and a second portion, through which said pin is moved when said plunger is rotated relative to said hollow housing when in said second position.

26. The suture snare instrument defined in claim 25 wherein said pin is moved through said second portion of said slot when said plunger is rotated in a first rotational direction relative to said hollow housing, and wherein said slot further includes a third portion, through which said pin is moved when said plunger is rotated in a second rotational direction relative to said hollow housing.

27. The suture snare instrument defined in claim 19 further including cooperating structures formed on said hollow housing and said plunger for preventing said plunger from being ejected from said housing.

28. The suture snare instrument defined in claim 27 wherein said cooperating structures include an inwardly extending ridge formed on said hollow housing and an outwardly extending ridge formed on said plunger.

29. The suture snare instrument defined in claim 28 wherein said inwardly extending ridge extends circumferentially about said hollow housing and wherein said outwardly extending ridge extends circumferentially about said plunger.

30. The suture snare instrument defined in claim 19 wherein said looped end of said wire includes a pair of diverging leg portions and a pair of converging leg portions.

31. The suture snare instrument defined in claim 30 wherein said diverging leg portions define an interior angle of about thirty-five degrees, and wherein said converging leg portions define an interior angle of about thirty-five degrees.

32. The suture snare instrument defined in claim 30 wherein said looped end of said wire includes a U-shaped bight portion joining said converging leg portions.

33. The suture snare instrument defined in claim 19 further including cooperating structures formed on said hollow housing said plunger for limiting relative rotational movement therebetween.

34. The suture snare instrument defined in claim 33 wherein said cooperating structures include a recess formed in a surface of said hollow housing and a web portion formed on said plunger which extends into said recess for limiting relative rotational movement therebetween.

35. The suture snare instrument defined in claim 19 further including an enlarged head formed on said plunger having a plurality of raised ribs formed thereon.

36. A suture snare instrument comprising:

a hollow housing defining an internal cavity;

an introducer needle having a first end secured to said hollow housing and a second end;

a plunger extending within said hollow housing and supported for sliding movement relative thereto between first and second positions;

a wire disposed within said introducer needle and connected to said plunger for movement therewith, said wire having a looped end which is retracted within said second end of said introducer needle when said plunger is in said first position and which extends outwardly from said second end of said introducer needle when said plunger is in said second position; and

a slot formed in one of said hollow housing and said plunger and a pin provided on the other one of said hollow housing and said plunger, said slot and said pin cooperating to selectively retain said plunger in said second position.

37. The suture snare instrument defined in claim 36 further including a spring engaged with said plunger to urge said plunger toward said first position.

38. The suture snare instrument defined in claim 37 wherein said spring is disposed within said internal cavity of said hollow housing and reacts between said hollow housing and said plunger to urge said plunger toward said first position.

39. The suture snare instrument defined in claim 36 wherein said slot is formed in said hollow housing and said pin is provided on said plunger.

40. The suture snare instrument defined in claim 39 wherein said plunger is rotatable relative to said hollow housing when said plunger is in said second position such that said pin is selectively received within said slot to retain said plunger in said second position.

41. The suture snare instrument defined in claim 40 wherein said slot includes a first portion, through which said pin is moved when said plunger is moved between said first and second positions relative to said hollow housing, and a second portion, through which said pin is moved when said plunger is rotated relative to said hollow housing when in said second position.

42. The suture snare instrument defined in claim 41 wherein said pin is moved through said second portion of said slot when said plunger is rotated in a first rotational direction relative to said hollow housing, and wherein said slot further includes a third portion, through which said pin is moved when said plunger is rotated in a second rotational direction relative to said hollow housing.

43. The suture snare instrument defined in claim 36 wherein said second end of said introducer needle extends at an angle relative to said first end.

44. The suture snare instrument defined in claim 43 further including a flange extending outwardly from said hollow housing and having a flat formed thereon for providing a tactile indication of said angle of said second end of said introducer needle relative to said first end.

45. The suture snare instrument defined in claim 36 further including cooperating structures formed on said hollow housing and said plunger for preventing said plunger from being ejected from said housing.

46. The suture snare instrument defined in claim 45 wherein said cooperating structures include an inwardly extending ridge formed on said hollow housing and an outwardly extending ridge formed on said plunger.

47. The suture snare instrument defined in claim 46 wherein said inwardly extending ridge extends circumferentially about said hollow housing and wherein said outwardly extending ridge extends circumferentially about said plunger.

48. The suture snare instrument defined in claim 36 wherein said looped end of said wire includes a pair of diverging leg portions and a pair of converging leg portions.

49. The suture snare instrument defined in claim 48 wherein said diverging leg portions define an interior angle of about thirty-five degrees, and wherein said converging leg portions define an interior angle of about thirty-five degrees.

50. The suture snare instrument defined in claim 49 wherein said looped end of said wire includes a U-shaped bight portion joining said converging leg portions.

51. The suture snare instrument defined in claim 36 further including cooperating structures formed on said hollow housing said plunger for limiting relative rotational movement therebetween.

52. The suture snare instrument defined in claim 51 wherein said cooperating structures include a recess formed in a surface of said hollow housing and a web portion formed on said plunger which extends into said recess for limiting relative rotational movement therebetween.

53. The suture snare instrument defined in claim 36 further including an enlarged head formed on said plunger having a plurality of raised ribs formed thereon.

54. The suture snare instrument defined in claim 36 wherein said second end of said introducer needle terminates in a sharp point to permit the insertion thereof through body tissue.