Surgical crimping device and method of use

• US 5,643,289 A
• Filed: 08/16/1995
• Issued: 07/01/1997
• Est. Priority Date: 02/24/1994
• Status: Expired due to Term

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: Lasersurge, Inc.
• Inventors: Tiberio, Thomas A., Sauer, Jude S., Rapp, Louis N.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEONARDO, MARK
• Application Number:
  US08/515,753
• Time in Patent Office: 685 Days
• Field of Search: 606/147, 606/139, 29/282, 29/751, 29/816
• US Class Current: 606/139
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• 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 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0488 Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: Y10T 29/53226 Fastening by deformation
• CPC Class Codes: Y10T 29/53987 Tube, sleeve or ferrule

Abstract

A surgical apparatus and method of use for maintaining tension upon a length of suture material extending from body tissue is provided. The surgical apparatus deforms and compresses a securing member about a length of suture material which is received therethrough so as to maintain a prescribed amount of tension on the suture material which extends from body tissue and is engaged in the compressed securing member.

Claims

1. A surgical apparatus for applying a securing member to a length of suture material comprising:

a) a handle portion having a pivotable handle member;

b) an elongated body portion extending distally from said handle portion and defining a longitudinal axis; and

c) a tool assembly remotely operable from said handle portion and extending from a distal end portion of said elongated body portion, said tool assembly having a stationary anvil portion, a movable hammer and a securing member disposed therebetween, wherein said movable hammer deforms said securing member upon the length of suture material by moving along the longitudinal axis toward said stationary anvil portion.

2. A surgical apparatus as recited in claim 1, wherein said tool assembly further includes a cutting member for cutting a length of suture material extending from the securing member.

3. A surgical apparatus as recited in claim 1, wherein said securing member is substantially cylindrical.

4. A surgical apparatus as recited in claim 3, wherein said securing member has a longitudinal bore extending therethrough for surrounding the suture positioned therein.

5. A surgical apparatus as recited in claim 1, further having an inner rod member located inside said elongated body portion and slidably received therein, wherein a proximal end portion of said inner rod member is movable by movement of said pivotable handle member such that movement of said pivotable handle member effects corresponding longitudinal movement of said hammer in said tool assembly along the longitudinal axis of said body portion.

6. A surgical apparatus as recited in claim 1, further having a rotation mechanism coupled with said handle portion and said elongated body portion for rotating said elongated body portion and said tool assembly about the longitudinal axis of said elongated body portion relative to said handle portion.

7. A surgical apparatus as recited in claim 1, wherein said securing member is releasably disposed in a distal end portion of said tool assembly in communication with said anvil portion and said hammer.

8. A surgical apparatus for applying a substantially cylindrical securing member to a length of suture material comprising:

a) a handle portion having a pivotable handle member;

b) an elongated body portion extending distally from said handle portion and defining a longitudinal axis; and

c) a tool assembly extending from a distal end portion of said elongated body portion, said tool assembly having a deforming assembly remotely operable from said handle portion to deform the substantially cylindrical securing member to a length of suture by movement of said deforming assembly along said longitudinal axis and a recess configured and dimensioned to receive the securing member entirely within said tool assembly.

9. A surgical apparatus as recited in claim 8, wherein said deforming assembly includes an anvil portion and a hammer movable toward said anvil portion along said longitudinal axis.

10. A surgical apparatus as recited in claim 8, further having a rotation mechanism coupled with said handle portion for rotating said endoscopic tubular member and said tool assembly about the longitudinal axis of said elongated body portion relative to said handle portion.

11. A surgical apparatus as recited in claim 9, wherein said securing member is releasably disposed in a distal end portion of said tool assembly in communication with said anvil portion and said hammer.

12. A surgical apparatus as recited in claim 8, wherein said tool assembly includes a cutting member movable with respect to said recess for cutting a length of suture material extending from said securing member.

13. A surgical apparatus for applying a securing member to a length of suture material comprising:

a) a handle portion having a pivotable handle member;

b) an elongated body portion extending distally from said handle portion and defining a longitudinal axis; and

c) a tool assembly extending from a distal end portion of said elongated body portion and remotely operable from said handle portion for enclosing, deforming and securing the securing member upon the length of suture material, said tool assembly having a longitudinal bore for receiving the entire securing member therein.

14. A surgical apparatus as recited in claim 13, further having a cutting member movable with respect to said bore for cutting a length of suture material extending from the securing member.

15. A surgical apparatus as recited in claim 13, further having a substantially cylindrical securing member supported therein.

16. A surgical apparatus as recited in claim 15, wherein said securing member has a longitudinal bore extending therethrough for surrounding the suture positioned therein.

17. A surgical apparatus as recited in claim 13, further having a rotation mechanism coupled with said handle portion for rotating said endoscopic tubular member and said tool assembly about the longitudinal axis of said elongated body portion relative to said handle portion.

18. A surgical apparatus as recited in claim 13, further having an inner rod member located inside said elongated body portion and slidably received therein, wherein a proximal end portion of said inner rod member is movable by movement of said pivotable handle member such that movement of said pivotable handle member effects corresponding longitudinal movement of said hammer in said tool assembly along the longitudinal axis of said body portion.