Load assist device for a suture cartridge

• US 5,814,069 A
• Filed: 06/25/1997
• Issued: 09/29/1998
• Est. Priority Date: 04/08/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Crawford, Norman D., Hunt, John V., Schulze, Dale R.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/882,506
• Time in Patent Office: 461 Days
• Field of Search: 606/228, 606/232, 606/148, 206/63.3, 206/339, 206/388, 206/392, 206/380, 206/382
• US Class Current: 606/228
• 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 17/062 Needle manipulators
• 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 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/0474 Knot pushers
• CPC Class Codes: A61B 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0479 Packages or dispensers for MIS suturing instruments
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body

Abstract

A load assist device for facilitating the loading of a suture cartridge onto a cartridge carrier of a surgical instrument is disclosed. The device has a cartridge casing and a suture cartridge loaded into an interior storage space of the cartridge casing. The suture cartridge contains a suture filament for tying a surgical knot. When a cartridge carrier of a surgical instrument is inserted into an aperture for receiving the cartridge within the cartridge casing, the carrier passes through a carrier channel inside the casing until it reaches the cartridge storage space for loading the suture cartridge onto the cartridge carrier. The loaded cartridge carrier may then be withdrawn from the cartridge storage space for withdrawal from the cartridge casing. The device helps the surgeon or the operating room assistant with loading a suture cartridge onto a surgical instrument for the eventual deployment of a knot during surgery, and avoids some of the pitfalls inherent in loading, unloading and reloading suture cartridges onto the surgical instruments during procedures where it is necessary or desirable to place several knots for fastening tissue.

Claims

1. A load assist device for facilitating the loading of a suture cartridge onto a cartridge carrier of a surgical instrument, said device comprising:

a) a cartridge casing having;

i) an interior cartridge storage space therein,

ii) a carrier aperture, and

iii) an interior carrier channel defining a passageway between said carrier aperture and said storage space; and

b) a suture cartridge loaded into said interior storage space of said cartridge casing, said cartridge containing a suture filament for tying a knot during a surgical procedure and a jaw movable from an open position to a closed position;

wherein the cartridge carrier of the surgical instrument may be inserted into said carrier aperture for passage through said carrier channel in a loading direction to said cartridge storage space for loading said suture cartridge onto the cartridge carrier, and the loaded cartridge carrier may be withdrawn from said cartridge storage space for passage through said carrier channel in an unloading direction for withdrawal from said carrier aperture.

2. The device of claim 1 wherein said casing is rigid and transparent.

3. The device of claim 1 wherein said casing includes a base and a top cover facing said base, and said cartridge storage space and said carrier channel are located between said base and said top cover.

4. The device of claim 3 wherein said carrier channel is bounded by a base support ledge and a cover support rib, said base support ledge extending from said base toward said top cover, and said cover support rib extending from said top cover toward said base.

5. The device of claim 4 wherein said cartridge storage space has a proximal retainer for retaining a proximal end of said suture cartridge, and a distal retainer spaced from said proximal retainer for retaining a distal end of said suture cartridge.

6. The device of claim 5 wherein said suture cartridge has a cartridge top and the open position of said jaw is spaced from said cartridge top and the closed position of said jaw is adjacent said cartridge top, said jaw being biased in said open position.

7. The device of claim 6 wherein said cartridge storage space has a jaw retaining ledge for retaining said jaw, and when said suture cartridge is confined in said storage space by said proximal and distal retainers and said jaw retaining ledge, said jaw is positioned intermediate said open and closed positions so as to secure said suture cartridge in said storage space.

8. The device of claim 7 wherein said suture cartridge is sloped downwardly in said storage space from said cartridge proximal end to said cartridge distal end.

9. The device of claim 8 wherein when the cartridge carrier is inserted into said storage space, the cartridge carrier contacts said suture cartridge between said cartridge proximal and distal ends so as to urge said cartridge proximal and distal ends from said proximal and distal retainers, thereby enabling the loading of said suture cartridge into the cartridge carrier.

10. The device of claim 1 wherein said cartridge casing has a sloped inlet ramp in communication with said carrier aperture and said carrier channel.

11. The device of claim 1 wherein said cartridge casing contains a pad upon which said suture filament is placed.

12. The device of claim 11 wherein said cartridge casing has a suture retainer for retaining said suture filament on said pad.

13. The device of claim 12 wherein said suture cartridge includes a surgical needle attached to said suture filament.

14. The device of claim 13 wherein said cartridge casing has a needle retainer for retaining said needle on said pad.