Suture cartridge assembly for a surgical knot

• US 5,871,490 A
• Filed: 06/25/1997
• Issued: 02/16/1999
• 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: Conlon, Sean P., Qureshi, Saleem U., Thompson, Bennie, Schulze, Dale R., Nobis, Rudolph H., Rupp, Kip M.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/881,978
• Time in Patent Office: 601 Days
• Field of Search: 606/228, 606/148, 606/139, 606/144, 606/145, 112/80.03, 112/169, 289/1.2, 289/12, 289/17
• 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 17/062 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 2017/00827 Treatment of gastro-esophageal reflux
• 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 2017/2931 with releasable head

Abstract

A suture cartridge assembly is disclosed. The assembly has a suture cartridge containing a slot for receiving a suture filament and a cartridge top for covering at least a portion of the filament. A grasping jaw faces the cartridge top, and it is movable from an open position spaced from the cartridge top to a closed position adjacent the cartridge top. The slot in the cartridge for receiving the filament facilitates the formation and placement of surgical knots made from the suture filament, particularly when knots are needed at remote surgical sites such as during minimally invasive surgery. The placement and deployment of the knot is further facilitated because the grasping jaw can grasp the filament or the tissue which is desired to be sutured when the jaw is moved from its open to closed positions. The ability to grasp the filament or tissue enables the surgeon to manipulate the filament or tissue during the procedure for deploying and placing the knot, further facilitating the ease with which the surgeon can deploy and place the knots in a minimally invasive procedure.

Claims

1. A suture cartridge assembly comprising:

a) a suture filament having proximal and distal ends, said filament being formed into a partially tied surgical knot for facilitating the fastening of bodily tissue;

b) a surgical needle attached to the distal end of said suture filament;

c) a suture cartridge having top and bottom faces and a slot therein for receiving said suture filament between said top and bottom faces, said slot containing a knot recess for receiving said partially tied knot of said suture filament in said suture cartridge, wherein at least a portion of the distal end of said suture filament and said partially tied surgical knot descend from said bottom face of said cartridge;

d) a cartridge top mounted onto said top face of said suture cartridge; and

e) a grasping jaw facing said cartridge top, said jaw movable from an open position spaced from said cartridge top to a closed position adjacent said cartridge top, said jaw movable from an open position spaced from said cartridge top to a closed position adjacent said cartridge top.

2. The assembly of claim 1 wherein said grasping jaw is pivotally attached to said suture cartridge.

3. The assembly of claim 2 wherein said grasping jaw is biased in said open position.

4. The assembly of claim 1 further comprising a cartridge housing integrally attached to a proximal end of said suture cartridge, said housing having a suture filament track extending about a periphery thereof.

5. The assembly of claim 4 wherein the proximal end of said suture filament is wound about the proximal end of said housing in said suture filament track.

6. The assembly of claim 5 wherein said cartridge housing has a hook slot therethrough at the proximal end of said housing.

7. A suture cartridge assembly for facilitating the placement of a surgical knot made from a suture filament, said assembly comprising:

a) a suture cartridge containing a slot therein for receiving said suture filament and a cartridge top for covering at least a portion of said filament within said slot;

b) a grasping jaw facing said cartridge top, said jaw having an inner serrated surface, said jaw movable from and open position spaced from said cartridge top to a closed position adjacent said cartridge top; and

c) a cartridge carrier having a channel therein for receiving said suture cartridge, said channel including a pair of spaced-apart containing walls each having a serrated top edge surface;

wherein when said suture cartridge is received in said cartridge carrier between said containing walls of said channel, said serrated top edge surfaces of said containing walls protrude from said cartridge top of said suture cartridge, and when said grasping jaw is in said closed position, said inner serrated surface of said grasping jaw meshes with said serrated top edge surfaces of said containing walls.

8. The assembly of claim 7 wherein said grasping jaw is pivotally attached to said suture cartridge.

9. The assembly of claim 8 wherein said grasping jaw is biased in said open position.