Surgical instrument for tying a knot in a length of suture at a remote location

• US 5,681,331 A
• Filed: 01/24/1995
• Issued: 10/28/1997
• Est. Priority Date: 06/02/1993
• Status: Expired due to Term

• Current Assignee: General Surgical Innovations Incorporated (Johnson Controls International plc)
• Original Assignee: General Surgical Innovations Incorporated (Johnson Controls International plc)
• Inventors: Hermann, George D., Mollenauer, Kenneth H., Van Dyk, Karl, Jervis, James E., de la Torre, Roger A., Scott, James Stephen
• Primary Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/377,362
• Time in Patent Office: 1,008 Days
• Field of Search: 606/139, 606/144, 606/145, 606/146, 606/147, 606/148, 606/151, 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 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures

Abstract

A surgical instrument facilitates tying of a knot in a length of suture material at a remote surgical location. The instrument is comprised of a rod having a length of suture wrapped over the rod in a particular pattern. A needle may be secured to a free end of the suture and the pattern of wrapping the suture on the rod enables loops of suture to move off the rod end and over the needle to form a knot in the suture.

Claims

1. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the second end of the rod, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture and then extending from the first bend and being wrapped laterally at least once around the rod adjacent the rod first end, the suture then being formed in a second bend and extending longitudinally from the second bend toward the rod second end to a third bend formed in the suture, the suture then extending from the third bend and being wrapped laterally several times around the rod, the suture then extending from the several wraps to a fourth bend formed in the suture, and then the suture extending from the fourth bend toward the rod first end and to the needle secured to the suture first end;

the fourth bend in the suture engages around the second bend in the suture; and

as the suture extends from the second bend to the third bend it passes between the rod and at least one of the several lateral wraps of the suture on the rod.

2. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the second end of the rod, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture and then extending from the first bend and being wrapped laterally at least once around the rod adjacent the rod first end, the suture then being formed in a second bend and extending longitudinally from the second bend toward the rod second end to a third bend formed in the suture, the suture then extending from the third bend and being wrapped laterally several times around the rod, the suture then extending from the several wraps to a fourth bend formed in the suture, and then the suture extending from the fourth bend toward the rod first end and to the needle secured to the suture first end; and

the suture extends from the third bend and is wrapped laterally several times around the rod with the several wraps extending from the third bend toward the second end of the rod.

3. The surgical instrument of claim 2, wherein:

as the suture extends from the fourth bend to the suture first end it passes between the rod and the several lateral loops of suture on the rod.

4. The surgical instrument of claim 2, wherein:

as the suture extends from the fourth bend to the suture first end it passes between the rod and at least one of the several lateral loops of suture on the rod.

5. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the second end of the rod, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture, the suture extending from the first bend and being wrapped laterally at least once around the rod and then extending to a second bend formed in the suture, the suture then extending from the second bend and a second time being wrapped laterally at least once around the rod and then extending to a third bend formed in the suture engaging around the first bend, and then the suture extending from the third bend toward the rod first end and to the needle secured to the suture first end; and

the second bend is formed in the suture first passing between the rod and a portion of the suture extending from the suture second end toward the first bend and then passing over the portion of the suture and the rod.

6. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the second end of the rod, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture, the suture extending from the first bend and a first time being wrapped laterally at least once around the rod and then extending to a second bend formed in the suture, the suture extending from the second bend toward the first end of the rod to a third bend formed in the suture, the suture extending from the third bend and a second time being wrapped laterally at least once around the rod and then extending to a fourth bend formed in the suture, the suture extending from the fourth bend toward the rod second end and to a fifth bend formed in the suture, the suture extending from the fifth bend and a third time being wrapped laterally at least once around the rod and then extending to a sixth bend formed in the suture, and then the suture extending from the sixth bend toward the rod first end and to the needle secured to the suture first end.

7. The surgical instrument of claim 6, wherein:

the fourth bend formed in the suture engages around both the second bend and the sixth bend formed in the suture.

8. The surgical instrument of claim 6, wherein:

the suture is wrapped laterally the first time around the rod in one direction and is wrapped laterally the second time around the rod in a second, opposite direction.

9. The surgical instrument of claim 8, wherein:

the suture is wrapped laterally the third time around the rod in the first direction.

10. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the rod second end, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture, the suture extending from the first bend and a first time being wrapped at least once around the rod and then extending to a second bend formed in the suture, the suture extending from the second bend toward the second end of the rod to a third bend formed in the suture, the suture extending from the third bend and a second time being wrapped laterally at least once around the rod and then extending to a fourth bend formed in the suture, the suture extending from the fourth bend toward the rod second end to a fifth bend formed in the suture, the suture extending from the fifth bend and a third time being wrapped laterally at least once around the rod and then extending to a sixth bend formed in the suture, the suture extending from the sixth bend toward the rod second end to a seventh bend formed in the suture, the suture extending from the seventh bend and a fourth time being wrapped laterally at least once around the rod and then extending to an eighth bend formed in the suture, and then the suture extending from the eighth bend toward the rod first end and to the needle secured to the suture first end.

11. The surgical instrument of claim 10, wherein:

the third bend engages around the fourth bend and the fifth bend engages around the sixth bend.

12. The surgical instrument of claim 10, wherein:

the suture is wrapped laterally the first time around the rod in one direction and is wrapped laterally the second time around the rod in a second direction, opposite the first direction.

13. The surgical instrument of claim 12, wherein:

the suture is wrapped laterally the third time around the rod in the first direction.

14. The surgical instrument of claim 13, wherein:

the suture is wrapped laterally the fourth time around the rod in the second direction.

15. A surgical instrument for tying a knot in a length of suture, the instrument comprising:

a rod having a longitudinal length with opposite first and second ends and an exterior surface extending between the first and second ends;

a length of suture having opposite first and second ends, the first end of the suture being secured to a needle and the second end of the suture being positioned adjacent the second end of the rod, the length of suture extending from its second end toward the rod first end to a first bend formed in the suture, the suture being doubled back at the first bend thereby forming a loop in the suture, the suture extending from the loop and being wrapped laterally at least once around the rod and then extending to a second bend formed in the suture engaging around the loop, the loop engaging around the second bend and being looped over the rod adjacent the rod first end, and the suture extending from the second bend toward the rod first end and to the needle secured to the suture first end; and

the suture wrapped at least once around the rod passes between the rod and a portion of the suture extending from the suture second end to the first bend formed in the suture.

16. The surgical instrument of claim 15, wherein:

the loop of suture looped over the rod also passes over a portion of the suture extending from the second bend to the needle.