Device and method for suturing blood vessels and the like

• US 6,077,276 A
• Filed: 02/17/1999
• Issued: 06/20/2000
• Est. Priority Date: 10/29/1997
• Status: Expired due to Term

• Current Assignee: St Jude Medical Incorporated (Abbott Laboratories)
• Original Assignee: X-Site LLC
• Inventors: Kontos, Stavros
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): NGO, LIEN M
• Application Number:
  US09/251,640
• Time in Patent Office: 489 Days
• Field of Search: 606/139, 606/144, 606/145, 606/147, 606/148, 606/228, 606/232, 606/233, 112/169
• US Class Current: 606/144
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen

Abstract

A method and device for sealing an opening in an anatomical structure within a living body involves the positioning of the tissue adjacent to the opening within a gap between proximal and distal parts of a tube formed by a curved central part. A needle coupled to a suture is pushed from a needle retention channel formed within the proximal part through the tissue received in the gap and into a needle receiving channel formed within the distal part. The device may be moved to a second position where a new region of tissue is located in the gap between the proximal and distal parts of the tube. The needle may be pushed or drawn out of the receiving channel in the distal part, through the tissue and into the receiving channel in the proximal part to thereby loop the suture through the anatomical structure. The procedure may be repeated to form multiple suture loops in the structure and then the ends of the suture may be knotted.

Needle pushing mechanisms may be adapted to move through the needle retention channels, and thus may be used to push a needle through the device. The device may include a trigger mechanism which is adapted to move the needle pushing mechanisms and thus the needle may be placed through the anatomical structure through operation of the trigger mechanism.

Claims

1. A suturing device comprising:

a proximal part including a needle insertion channel extending therethrough to a needle exit opening formed in a distal end of the proximal part;

a central part extending distally from the distal end of the proximal part and forming a tissue receiving gap between a distal end of the central part and the distal end of the proximal part, the central part including a needle entry opening formed in the distal end thereof;

a flexible distal part coupled to the distal end of the central part and having a needle receiving lumen extending from the needle entry opening through at least a portion of the distal part; and

a needle having a length of suture attached thereto, the needle being slidably insertable through the needle insertion channel to pass through the needle exit opening, cross the tissue receiving gap and enter the needle receiving lumen via the needle entry opening, wherein the needle receiving lumen is sized so that the entire needle may be received therein.

2. The suturing device according to claim 1, further comprising a needle pushing member slidably insertable in the needle insertion channel proximally of the needle so that, upon advancing the needle pushing member distally through the needle insertion channel, a distal end of the needle pushing member abuts a proximal end of the needle to push the needle distally through the needle insertion channel, out of the needle exit opening, across the gap and into the needle receiving lumen via the needle entry opening.

3. The suturing device according to claim 1, wherein the needle includes a sharpened distal tip and a sharpened proximal tip, the device further including a needle pushing mechanism mounted in the distal part to return the needle from the distal part, across the gap into the needle insertion channel.

4. The suturing device according to claim 1, further including a flash back lumen extending from the proximal end of the proximal part to a blood entry opening formed in the central part.

5. The suturing device according to claim 4, wherein the flash back lumen communicates with the needle receiving lumen so that the needle entry opening forms the blood entry opening.

6. The suturing device according to claim 2, further comprising a spring biasing the needle pushing member proximally.

7. The suturing device according to claim 2, further comprising a handle coupled to the proximal end of the proximal part and an actuating member which, when moved to a needle insertion position, advances the needle pushing member distally through the needle insertion channel.

8. The suturing device according to claim 1, wherein the distal part is more flexible than the central part.

9. The suturing device according to claim 8, wherein the distal part is formed of a first material and the central part is formed of a second material different from the first material.

10. The suturing device according to claim 8, wherein the distal part is more flexible than the proximal part.

11. The suturing device according to claim 8, wherein the needle exit opening is fixed with respect to the needle entry opening.

12. A method of suturing a puncture in a blood vessel, comprising the steps of:

inserting into the puncture a device forming a tissue receiving gap between proximal and distal parts thereof so that a first portion of blood vessel wall adjacent to the tissue is received within the gap;

moving a needle having a length of suture attached distally through a needle insertion channel formed in the proximal part of the device so that the needle and the length of suture exit the needle insertion channel, pass through the first portion of the blood vessel wall and enter a needle receiving lumen formed in the distal part of the device;

rotating the device so that a second portion of the blood vessel wall adjacent to the puncture is received within the gap;

withdrawing the needle proximally from the needle receiving lumen so that the needle and the length of suture exit the needle receiving lumen, pass through the second portion of the blood vessel wall and re-enter the needle insertion channel; and

coupling ends of the length of suture together to seal the puncture.

13. The method according to claim 12, wherein the step of withdrawing the needle is performed by actuating a needle pushing mechanism mounted in the distal part of the device.