Surgical apparatus for suturing body tissue

• US 5,645,552 A
• Filed: 01/11/1995
• Issued: 07/08/1997
• Est. Priority Date: 01/11/1995
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Sherts, Charles R.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): RASCHE, PATRICK WILLIAM
• Application Number:
  US08/371,200
• Time in Patent Office: 909 Days
• Field of Search: 606/139, 606/144, 606/145, 606/146, 606/147, 606/148, 606/151, 606/157, 606/205
• US Class Current: 606/145
• CPC Class Codes: A61B 17/0491 Sewing machines for surgery

Abstract

A surgical apparatus for suturing body tissue comprising first and second jaws relatively movable between an open and closed position, a first needle retaining section having a first securing mechanism mounted therein removably mounted to the first jaw, and a second needle retaining section having a second securing mechanism mounted therein removably mounted to the second jaw. The surgical needle is transferable between the first and second sections upon closing of the jaws such that the surgical needle can be retained in either of the first and second sections by the respective securing mechanism.

Claims

1. A surgical apparatus for suturing body tissue comprising:

first and second jaws, the first and second jaws being relatively movable between an open and closed position;

a first needle retaining section having a first securing mechanism mounted therein, the first section being removably mounted to the first jaw;

a surgical needle retained in the first needle retaining section by the first securing mechanism;

a second needle retaining section having a second securing mechanism mounted therein, the second section being removably mounted to the second jaw;

wherein the surgical needle is transferable between the first and second sections such that the surgical needle can be retained by the respective securing mechanism.

2. The apparatus of claim 1, wherein each of the securing mechanisms is movable between a clamping position to retain the surgical needle and a release position to release the surgical needle.

3. The apparatus of claim 2, further comprising a reciprocating member mounted in one of the first and second sections for reciprocal movement, the reciprocating member being engagable with both the first and second securing mechanisms to alternately move the first and second securing mechanisms between their clamping and release positions.

4. The apparatus of claim 1, wherein the first needle securing mechanism includes a first flexible spring movable between a clamping position to secure the surgical needle in the first section and a release position to release the surgical needle from the first section.

5. The apparatus of claim 4, wherein the second needle securing mechanism includes a second flexible spring movable between a clamping position to secure the surgical needle in the second section and a release position to release the surgical needle from the second section.

6. The apparatus of claim 1, wherein the first and second securing mechanisms each comprises a leaf spring, each of the leaf springs movable between a clamping position to secure the surgical needle in the respective needle retaining section and a release position to release the surgical needle from the respective needle retaining section.

7. The apparatus of claim 1, further comprising a handle mechanism and an elongated endoscopic portion positioned between the handle mechanism and the first and second jaws, wherein actuation of the handle mechanism closes the jaw.

8. A surgical apparatus for suturing body tissue comprising:

first and second jaws, the first and second jaws being relatively movable between an open and closed position;

a first needle retaining section having a first securing mechanism mounted therein, the first section being removably mounted to the first jaw;

a surgical needle retained in the first needle retaining section by the first securing mechanism;

a second needle retaining section having a second securing mechanism mounted therein, the second section being removably mounted to the second jaw;

the first needle securing mechanism including a first flexible spring movable between a clamping position to secure the surgical needle in the first section and a release position to release the surgical needle from the first section;

the second needle securing mechanism including a second flexible spring movable between a clamping position to secure the surgical needle in the second section and a release position to release the surgical needle from the second section; and

a toggle link mounted in the second section for reciprocal movement to alternately move the first and second flexible springs between the clamping and release positions,

wherein the surgical needle is transferable between the first and second sections such that the surgical needle can be retained by the respective securing mechanism.

9. The apparatus of claim 8, further comprising at least one elongated bar extending from the toggle link for contacting the first flexible spring to move the spring between the clamping and release positions.

10. The apparatus of claim 9, further comprising a clamping block positioned at a distal end portion of the first and second springs for pressing the surgical needle against an inner wall of the respective first and second sections.

11. The apparatus of claim 9, further comprising a toggle finger mounted in the second section, the toggle finger configured to contact and reciprocate the toggle link upon relative movement of the first and second jaws to the closed position.

12. A surgical apparatus for suturing body tissue comprising:

first and second jaws, the first and second jaws being relatively movable between an open and closed position;

a first needle retaining section having a first securing mechanism mounted therein, the first section being removably mounted to the first jaw;

a surgical needle retained in the first needle retaining section by the first securing mechanism;

a second needle retaining section having a second securing mechanism mounted therein, the second section being removably mounted to the second jaw;

the first and second securing mechanisms each comprising a leaf spring, each of the leaf springs movable between a clamping position to secure the surgical needle in the respective needle retaining section and a release position to release the surgical needle from the respective needle retaining section; and

a reciprocating member movable between a first position and a second position, wherein movement of the reciprocating member to the first position moves the first leaf spring to the clamping position and the second leaf spring to the release position, and movement of the reciprocating member to the second position moves the leaf spring to the release position and the second leaf spring to the clamping position,

wherein the surgical needle is transferable between the first and second sections such that the surgical needle can be retained by the respective securing mechanism.

13. The apparatus of claim 12, wherein the reciprocating member comprises a toggle link pivotably mounted in the second section.

14. The apparatus of claim 13, further comprising a toggle finger positioned in the second section and adapted to contact and pivot the toggle link between the first and second positions.

15. The apparatus of claim 14, wherein relative movement of the first and second jaws to the closed position automatically pivots the toggle link from one of the first and second positions to the other of the positions.

16. The apparatus of claim 15, further comprising a pair of camming blocks positioned on the toggle link to facilitate reciprocal movement thereof.

17. An apparatus for suturing body tissue comprising:

a first arm and a second arm the first arm movable between a first position spaced apart from the second arm and a second position adjacent the second arm;

a surgical needle loading unit mounted to at least the first arm, the loading unit including a surgical needle and a surgical needle retaining mechanism to secure the surgical needle in at least the first arm and to allow transfer of the surgical needle between the first and second arms, the needle loading unit including a first section removably attached to the first arm and a second section removably attached to the second arm, each of the first and second sections including a guide rail for mounting the respective first and second sections within a corresponding slot formed in the first and second arms, respectively, wherein the surgical needle loading unit is detachably connected to a distal portion of at least the first arm to allow removal and replacement of the loading unit.

18. The apparatus of claim 17, wherein the surgical needle retaining mechanism includes first and second springs mounted in the first and second sections, respectively, wherein each of the springs is movable between a clamping position to retain the surgical needle in the respective section and a release position to release of the surgical needle from the respective section.

19. The apparatus of claim 18, further comprising a toggle mechanism pivotally mounted in one of said first and second sections, the toggle mechanism moving the first and second springs between the clamping and release positions.

20. The apparatus of claim 19, wherein movement of the first and second arms to the closed position actuates the toggle mechanism to transfer the surgical needle between the first and second sections of the needle loading unit.

21. A surgical needle loading unit for attachment to a surgical apparatus having first and second arms for suturing body tissue, the loading unit comprising:

a first section having a first needle securing mechanism movable between a needle clamping position to retain the needle in the first section and a second position to release the needle from the first section, the first section being detachably mounted to the first arm;

a second section having a second needle securing mechanism movable between a needle clamping position to retain the needle in the second section and a release position to release the needle from the second section, the second section being detachably mounted to the second arm; and

an actuator positioned in one of the first and second sections and operatively associated with the first and second needle securing members, the actuator alternately moving the first and second needle securing mechanisms between respective clamping and release positions.

22. The loading unit of claim 21, wherein the first and second sections each have a guide rail for engaging a slot in the first and second arms, respectively.

23. The loading unit of claim 21, wherein the actuator comprises a reciprocating member pivotably mounted within the second section.

24. The loading unit of claim 23, wherein the first securing mechanism comprises a first spring and the second securing mechanism comprises a second spring.

25. The loading unit of claim 24, wherein the reciprocating member is a toggle link having at least one elongated member for contacting the first spring to move it between the first and second positions.

26. The loading unit of claim 25, wherein the second spring is mounted to the toggle link.

27. The loading unit of claim 26, further comprising a toggle finger for reciprocating the toggle lever, the toggle finger contacting the toggle lever upon movement of the first and second arms of the apparatus to a closed position.

28. The loading unit of claim 27, wherein the toggle finger is biased out of contact with the toggle lever.

29. A surgical apparatus for suturing body tissue comprising:

a first jaw and a second jaw;

a first needle retaining section having a first needle securing mechanism mounted therein, the first section being removably mounted to the first jaw; and

a second needle retaining section having a second needle securing mechanism mounted therein, the second section being fixedly mounted to the second jaw, wherein a surgical needle is transferrable from the first section to the second section and from the second section to the first section such that the surgical needle can be retained by the respective securing mechanism.