Surgical device for suturing tissue

• US 6,071,289 A
• Filed: 03/15/1999
• Issued: 06/06/2000
• Est. Priority Date: 03/15/1999
• Status: Expired due to Term

• Current Assignee: Inbae Yoon
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Yoon, Inbae, Brinkerhoff, Ron J., Stefanchik, David, Burbank, John E. III
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/270,483
• Time in Patent Office: 449 Days
• Field of Search: 606/144, 606/139, 606/147, 606/148, 606/205, 606/206
• US Class Current: 606/147
• 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 17/06004 Means for attaching suture to needle tipping A61B17/06195; connecting wire to other metallic objects B21F15/00
• CPC Class Codes: A61B 17/062 Needle manipulators

Abstract

A surgical device is described for assisting a surgeon in suturing bodily tissue using a curved, surgical needle with a suture filament attached. The surgical device comprises a handle, an elongated shaft having a proximal end, a distal end, and a longitudinal axis extending in between. The device further comprises a stationary arm having a first holder fixedly attached to and extending from the distal end of the shaft, and used for operationally engaging with the needle. The device also has a movable arm having a second holder extending from the distal end of the shaft and rotatable around the longitudinal axis of the device. The movable arm also is operationally engageable with the needle. An actuator is provided for cooperatively actuating the first and second holders, so as to be able to pass a needle along a circular path transverse to the longitudinal axis of the device through the tissue, and thus place the suture filament into the tissue.

Claims

1. A surgical device to assist in suturing body tissue, said surgical device comprising:

a. a handle;

b. an elongated shaft having a proximal end attached to said handle, a distal end, and a longitudinal axis extending therebetween;

c. a stationary arm having a first holder for alternately holding and releasing a needle, said stationary arm attached to and extending from said distal end of said shaft, said stationary arm attached to said shaft such that its position, relative to said shaft, is fixed;

d. a movable arm having a second holder, said second holder for alternately holding and releasing a needle, said movable arm extending from said distal end of said shaft, whereby said movable arm is rotatable about said longitudinal axis of said shaft; and

e. an actuator for moving said second holder adjacent to said first holder and for passing a needle from one of said first and second holders to the other of said first and second holders.

2. The surgical device of claim 1, wherein said movable arm is rotatable by operation of said actuator between a first position and a second position,

wherein for said first position, said second holder is adjacent to said first holder and

wherein for said second position, said second holder is spaced further apart from said first holder.

3. The surgical device of claim 2, wherein said actuator includes a cycling device for preventing said second holder from reversing its rotational direction while rotating between said first position and said second position.

4. The surgical device of claim 1, wherein said actuator is operated by applying manual force.

5. The surgical device of claim 1, wherein said device further comprises a control on said handle for manually inserting and releasing said needle from at least one of said first and second holders.

6. The surgical device of claim 1, wherein said first holder comprises a first lock pin longitudinally movable within said stationary arm, and a first end effector attached to and distal to the distal end of said stationary arm, whereby said first lock pin moves distally to engage a needle against said first end effector, and moves proximally to release said needle from said end effector.

7. The surgical device of claim 1, wherein said second holder comprises a second lock pin longitudinally movable within said movable arm, and a second end effector attached to and distal to the distal end of said movable arm, whereby said second lock pin moves distally to engage a needle against said second end effector, and moves proximally to release said needle from said second end effector.

8. The surgical device of claim 1 further comprising an arcuate needle having a radius commensurate with the rotational radius of said second holder, wherein each of said first and second holders hold said needle such that the curvature of said needle is oriented around said longitudinal axis of said shaft.

9. A method of using the surgical device of claim 1 comprising:

a. holding a proximal portion of a needle having a suture filament attached thereto in said first holder of said stationary arm;

b. placing a distal portion of said needle through said tissue;

c. actuating said actuator so as to move said second holder adjacent to said first holder and releasing said proximal portion of said needle from said first holder and holding said distal portion of said needle in said second holder;

d. releasing said actuator and rotating said second holder around said axis of said shaft away from said first holder, and passing said distal portion of said needle and a portion of said suture filament attached thereto, through said tissue.

10. The method of claim 9 further comprising two additional steps after step (d):

a. actuating said actuator and rotating said second holder adjacent to said first holder, and releasing said distal portion of said needle from said second holder and holding said proximal portion of said needle in said first holder, and

b. releasing said actuator and rotating said second holder away from said first holder while said proximal portion of said needle remains held by said first holder.

11. A surgical device to assist in suturing body tissue, said surgical device comprising:

a. a handle;

b. an elongated shaft having a proximal end attached to said handle, a distal end, and a longitudinal axis extending therebetween;

c. a stationary arm having a first holding means for alternately holding and releasing a needle, said stationary arm attached to and extending from said distal end of said shaft, said stationary arm attached to said shaft such that its position, relative to said shaft, is fixed;

d. a movable arm having a second holding means, said second holding means for alternately holding and releasing a needle, said movable arm extending from said distal end of said shaft, whereby said movable arm is rotatable about said longitudinal axis of said shaft;

e. an actuating means for moving said second holder adjacent to said first holder and for passing a needle from one of said first and second holding means to the other of said first and second holding means.

12. The surgical device of claim 11, wherein said movable arm is rotatable by operation of said actuator between a first position and a second position;

wherein for said first position, said second holding means is adjacent to said first holding means;

wherein for said second position, said second holding means is spaced further apart from said first holding means.

13. The surgical device of claim 11, wherein said actuating means includes a cycling device for preventing said second holding means from reversing its rotational direction while rotating between said first position and said second position for each complete actuation of said actuating means.

14. The surgical device of claim 11, wherein said actuating means is operated by applying manual force.

15. The surgical device of claim 11, wherein said device further comprises a control on said handle for opening and closing said first and second holding means.

16. The surgical device of claim 11, wherein said first holding means comprises a first lock pin longitudinally movable within said stationary arm, and a first end effector attached to and distal to the distal end of said stationary arm, whereby said first lock pin moves distally to engage a needle against said first end effector, and moves proximally to release said needle from said end effector.

17. The surgical device of claim 11, wherein said second holding means comprises a second lock pin longitudinally movable within said movable arm, and a second end effector attached to and distal to the distal end of said movable arm, whereby said second lock pin moves distally to engage a needle against said second end effector, and moves proximally to release said needle from said second end effector.

18. The surgical device of claim 11 further comprising an arcuate needle having a radius commensurate with the rotational radius of said second holding means, wherein each of said first and second holding means hold said arcuate needle such that the curvature of said needle is oriented around said longitudinal axis of said shaft.

19. A method for suturing tissue, said method comprising:

a. providing a device comprising a handle for holding said device, said handle having distal and proximal ends and first and second arms extending distally from said handle, said arms having proximal ends attached to said handle and distal ends having holders attached thereto for holding and releasing a needle, said first arm being stationary such that its position, relative to said handle is fixed, said second arm being movable such that it is rotatable about a longitudinal axis of said handle, and at least one actuator for moving said second arm such that said distal end of said arms are closely adjacent to one another and for passing said needle from one holder to the other and thereafter for moving said distal ends of said arms further apart from one another by rotating said second arm, said first holder holding a needle having a suture attached thereto;

b. manually placing a distal end of said needle through said tissue;

c. rotating said second arm by actuating said at least one mechanism so as to move said arms closely adjacent one another so that said second holder holds said needle, releasing said needle from said first holder, and rotating said second arm and thereby moving said distal ends of said arms further apart from one another; and

d. removing said needle from said tissue.