Surgical suturing apparatus with locking mechanisms

• US 5,674,230 A
• Filed: 09/12/1995
• Issued: 10/07/1997
• Est. Priority Date: 10/08/1993
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: Margaret P. Richardson, United States Surgical Corporation (Medtronic Plc), Philip Richardson
• Inventors: Stone, Corbett W., Scirica, Paul A., Nicholas, David A., Tovey, H. Jonathan, Zlock, Stephen W., Richardson, Margaret Pamela, Richardson, Philip
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/527,125
• Time in Patent Office: 756 Days
• Field of Search: 606/139 J, 606/142-148
• US Class Current: 606/139
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0491 Sewing machines for surgery
• CPC Class Codes: A61B 17/06114 Packages or dispensers for needles or sutures packages for sharps A61B50/3001; for dental floss A61C15/043; packages for needles in general B65D85/24
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/0479 Packages or dispensers for MIS suturing instruments
• 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 MIS suturing instruments A61B17/0469; jaws of MIS forceps A61B2017/2926
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.

Claims

1. An apparatus for manipulating a surgical needle comprising:

a) a body portion;

b) a first movable needle receiving jaw extending from a distal end of the body portion and having a first needle engaging member;

c) a second movable needle receiving jaw extending from the distal end of the body portion and having a second needle engaging member, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein;

d) a wheel rotatably mounted within the body portion, a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other; and

e) a pair of tubes disposed within the body portion wherein said needle engaging members extend through said tubes.

2. The apparatus as recited in claim 1, wherein at least one of the first and second recesses is circular in cross-section.

3. The apparatus as recited in claim 2, wherein at least one of the first and second recesses tapers to a width less than that of a surgical needle inserted therein.

4. The apparatus as recited in claim 1, further comprising a force-transfer mechanism operatively associated with the first and second needle receiving jaws for preventing the jaws from twisting.

5. Surgical apparatus for manipulating a surgical incision member comprising:

a) an elongated body portion having a proximal and distal portion;

b) first and second jaw elements extending from the distal portion of said body portion, at least one of said jaw elements being movable between an open and closed position;

c) a surgical incision member supported by one of said jaw elements;

d) a handle extending from the proximal portion of said body portion for moving said jaw elements between said open and closed positions; and

e) at least one seal positioned between the handle and the jaw elements to prevent the egress of gas from the body cavity;

wherein said at least one jaw element is prevented from moving when said surgical incision member is not secured in at least one of said jaw elements.

6. The apparatus as recited in claim 5, wherein the seal comprises two individual elements in sequence and is positioned within the elongated body portion.

7. The apparatus as recited in claim 6, further comprising at least one needle enagaging member movable with respect to said first and second jaw elements to selectively engage and disengage the surgical incision member.

8. The apparatus as recited in claim 7, further comprising a rotatable control handle to selectively move the at least one needle engaging member.

9. A method of manipulating a surgical needle inside a body cavity comprising the steps of:

a) inserting a cannula into a body cavity;

b) providing a surgical instrument having a control mechanism, a first jaw and a second jaw, at least one of the jaws being mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw;

c) inserting said jaws through the cannula into the body cavity;

d) opening the jaws inside the body cavity to expose a pointed tip of the surgical needle secured in the first jaw;

e) passing the surgical needle through the tissue to be sutured; and

f) selectively and mechanically manipulating the control mechanism to move a first needle engaging portion to a disengaged position to release the needle from the first jaw and to move a second needle engaging portion to an engaged position to secure the needle in the second jaw to allow transfer of control of the needle from the first jaw to the second jaw.

10. The method as recited in claim 9, further including the step of closing the jaws prior to transferring the needle from the first jaw to the second jaw.

11. The method as recited in claim 9, further including the step of rotating the control mechanism to slide the needle engaging portions with respect to the first and second jaws.

12. The method as recited in claim 9, further including the step of closing the jaws prior to insertion through the cannula.

13. A method of manipulating a surgical needle inside a body cavity comprising the steps of:

a) inserting a cannula into a body cavity;

b) providing a surgical instrument having first and second jaws, a handle mechanism for moving at least one of the jaws between a first position adjacent the other jaw and a second position spaced apart from the other jaw, and a control mechanism for releasing the needle from one jaw and securing the needle in the other jaw;

c) inserting said jaws through the cannula into the body cavity;

d) manipulating the handle mechanism with one hand to open the jaws inside the body cavity;

e) manipulating the handle mechanism with the same hand to close the jaws; and

f) manipulating the control mechanism with the same hand to release the needle from one jaw and secure the needle in the opposing jaw.

14. The method as recited in claim 13, wherein the step of manipulating the control mechanism with the same hand to release the needle from one jaw and secure the needle in the opposing jaw includes rotating the control mechanism.

15. The method as recited in claim 13, wherein the step of manipulating the handle mechanism with the same hand to close the jaws includes squeezing two portions of the handle mechanism toward each other.

16. The method as recited in claim 14, wherein the step of rotating the control mechanism moves a first needle engaging portion to a position disengaged from said first jaw to release the needle from the first jaw and moves a second needle engaging portion to a position engaged with said second jaw to secure the needle in the second jaw.

17. The method as recited in claim 15, wherein the step of squeezing the two portions of the handle mechanism toward each other drives a rod operatively connected to said first and second jaws proximally.

18. The method as recited in claim 13, wherein said first and second jaws are prevented from opening during the step of manipulating the control mechanism with the same hand to release the needle from one jaw and secure the needle in the opposing jaw until the needle is secured in the opposing jaw.