Surgical suturing apparatus

• US 5,938,668 A
• Filed: 10/04/1996
• Issued: 08/17/1999
• Est. Priority Date: 10/07/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Scirica, Paul A., Farascioni, David, Sherts, Charles R., Yagami, Richard
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/726,111
• Time in Patent Office: 1,047 Days
• Field of Search: 606/148, 606/147, 606/145, 606/144, 606/139, 606/151, 606/205, 606/207
• US Class Current: 606/145
• 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 17/062 Needle manipulators
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/06019 by means of a suture-receiving lateral eyelet machined in the needle lateral opening for attaching suture to suture anchor A61B2017/0414
• CPC Class Codes: A61B 2017/06042 located close to needle tip
• 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 2017/2936 Pins in guiding slots

Abstract

The surgical suturing apparatus is configured to pass a surgical suturing needle having an associated length of suture material attached thereto between opposed pairs of jaws. The surgical suturing apparatus generally includes a housing having an elongated tubular portion extending distally therefrom. A pair of jaws extend distally from the elongated tubular portion and are each individually longitudinally movable with respect to the elongated tubular portion and with respect to each other. Each of the jaw structures includes a jaw and a securing mechanism for tightly holding the surgical needle within the jaw. Parts of the securing mechanism engaging the needle also move longitudinally with respect to the associated jaw and the elongated tubular portion. Various control structures are provided to advance the securing mechanism relative to its associated jaw to secure the surgical needle therein and to move the entire jaw structure longitudinally with respect to the suturing apparatus.

Claims

1. An apparatus for suturing body tissue comprising:

a handle portion;

an elongated body portion extending from the handle portion and defining a longitudinal axis;

first and second jaws extending from the body portion;

a first securing mechanism cooperating with the first jaw and a second securing mechanism cooperating with the second jaw;

a jaw actuating mechanism operatively associated with at least one of the first and second jaws, wherein the jaw actuating mechanism moves at least one of the jaws longitudinally and parallel to the longitudinal axis; and

a control mechanism operatively connected to the first and second securing mechanisms, the control mechanism moving at least one of the securing mechanisms between a first position to secure a surgical needle within one of the first and second jaws and a second position to release the surgical needle from the respective jaw.

2. An apparatus as recited in claim 1, wherein the jaw actuating mechanism comprises a button slidably mounted with respect to the handle portion.

3. An apparatus as recited in claim 1, wherein the jaw actuation mechanism includes a first slidable actuator button to move the first jaw and a second slidable actuator button to move the second jaw.

4. An apparatus as recited in claim 3, wherein movement of the first actuator button distally slides the first jaw distally and movement of the second actuator distally slides the second jaw distally.

5. An apparatus as recited in claim 1, wherein the control mechanism comprises first and second control levers pivotally mounted with respect to the handle portion.

6. An apparatus as recited in claim 3, wherein the control mechanism comprises first and second control levers pivotally mounted with respect to the handle portion.

7. An apparatus as recited in claim 6, wherein the first and second control levers are mounted to the first and second actuator buttons, respectively, such that each control lever is carried by the respective actuator button.

8. An apparatus as recited in claim 7, wherein each of the actuator buttons has an aperture formed therein and a portion of the respective control lever protrudes through the aperture.

9. An apparatus as recited in claim 1, wherein each of the jaw members has a needle receiving notch formed therein, and each of the securing members is slidable distally to retain the needle in the notch of the jaw member.

10. An apparatus of claim 9, wherein each securing member extends from an elongate rod connected at a proximal end to the respective control member.

11. An apparatus of claim 9, wherein each of the securing members has an angled distal surface to press the needle into the notch of the respective jaw member.

12. An apparatus as recited in claim 1, wherein the first and second jaws move parallel to each other.

13. An apparatus for suturing body tissue comprising:

a handle portion;

an elongated body portion extending distally from the handle portion and defining a first longitudinal axis;

first and second jaws extending from the body portion defining a second longitudinal axis;

a surgical needle releasably held within at least one of the first and second jaws and positioned perpendicularly to the second longitudinal axis of the first and second jaws;

a first securing member slidably positioned with respect to the first jaw member and movable in a longitudinal direction between a needle securing position and a needle releasing position; and

a second securing member slidably positioned with respect to the second jaw member and movable in a longitudinal direction between a needle securing position and a needle releasing position.

14. An apparatus as recited in claim 13, wherein the needle releasing position of the securing member is proximal of the needle securing position.

15. An apparatus as recited in claim 14, further comprising first and second actuator buttons slidable longitudinally between a proximal and distal position, wherein movement of the first actuator button to the distal position moves the first jaw distally and movement of the second actuator button to a distal position moves the second jaw distally.

16. An apparatus as recited in claim 15, further comprising first and second control members, wherein movement of the first control member to a distal position slides the first securing member distally and movement of the second control member to a distal position slides the second securing member distally.

17. An apparatus of claim 16, wherein the first and second control members are slidably mounted on a handle portion of the apparatus.

18. An apparatus of claim 17, wherein the first and second control members are pivotally mounted on the handle portion of the apparatus.

19. An apparatus of claim 16, wherein each of the jaws has a notch portion formed at a distal end portion for receiving the surgical needle.

20. An apparatus for suturing body tissue comprising:

a handle portion;

an elongated body portion extending from the handle portion and defining a longitudinal axis;

first and second jaw members extending distally from the elongated body portion;

a surgical needle positionable in either of the jaw members;

means for reciprocal relative movement of the first and second jaw members between a proximal position and a distal position with respect to the body portion; and

means for securing the surgical needle in one of the first and second jaw members, the securing means being selectively movable between a retracted and an extended position.

21. An apparatus as recited in claim 20, wherein the securing means includes first and second slidable blades, each of the blades being selectively slidable by a control means operatively connected thereto.

22. An apparatus of claim 21, further comprising actuation means operatively connected to the jaw members for selectively moving the jaw members.

23. An apparatus for suturing body tissue comprising:

a handle portion;

an elongated body portion extending distally from the handle portion and defining a longitudinal axis;

first and second jaws extending from the body portion and movable in a longitudinal direction, wherein at least a portion of each jaw moves within the body portion;

a first securing member positioned adjacent the first jaw member and movable between a needle securing position and a needle releasing position;

a second securing member positioned adjacent the second jaw member and movable between a needle securing position and a needle releasing position;

means for moving the first securing member with respect to the first jaw member between the needle securing and needle releasing positions; and

means for moving the second securing member with respect to the second jaw member between the needle securing and the needle releasing positions.

24. The apparatus of claim 23 further comprising:

a control mechanism operatively connected to the first and second jaws, the control mechanism moving the jaws longitudinally relative to one another.

25. An apparatus for suturing body tissue comprising:

a handle portion;

an elongated body portion extending distally from the handle portion and defining a longitudinal axis;

first and second jaws extending from the body portion and moveable in a longitudinal direction with respect to the body portion;

a first securing member positioned adjacent the first jaw member and movable between a needle securing position and a needle releasing position;

a second securing member positioned adjacent the second jaw member and movable between a needle securing position and a needle releasing position;

means for moving the first securing member with respect to the first jaw member between the needle securing and needle releasing positions;

means for moving the second securing member with respect to the second jaw member between the needle securing and the needle releasing positions;

a control mechanism operatively connected to the first and second jaws, the control mechanism moving the jaws longitudinally relative to one another; and

timing means associated with the control mechanism for preventing longitudinal motion of a jaw when the corresponding securing member is in the needle securing position.

26. A method of endoscopically suturing tissue comprising the steps of:

(i) providing an endoscopic suturing apparatus having an elongated endoscopic section with first and second longitudinally movable needle holding jaws, the first and second needle holding jaws being movable in a direction parallel to a longitudinal axis of the elongated endoscopic section, and a surgical needle held in at least one of the jaws with a length of suture material attached to the needle;

(ii) endoscopically accessing a surgical site;

(iii) positioning the elongated endoscopic section adjacent the site to be sutured with the needle held in the first jaw, the second jaw being longitudinally retracted relative to the first jaw;

(iv) inserting the needle through tissue;

(v) manipulating the longitudinally movable jaws until both jaws are substantially equally extended;

(vi) grasping the needle with the second jaw;

(vii) releasing the needle from the first jaw; and

(viii) drawing the needle and a length of the suture material through the tissue.

27. The method of claim 26 wherein the step of manipulating the longitudinally movable jaws comprises extending the second jaw substantially equally to the first jaw.

28. The method of claim 26 further comprising the steps of:

(ix) retracting the first jaw relative to the second jaw prior to the step of drawing;

(x) subsequent to the step of drawing, manipulating the longitudinally movable jaws until both jaws are substantially equally extended;

(xi) grasping the needle with the first jaw; and

(xii) releasing the needle from the second jaw.

29. The method of claim 28 further comprising the steps of:

(xii) manipulating the longitudinally movable jaws so that the first jaw is extended relative to the second jaw.