Applicator for setting a surgical needle

• US 6,197,035 B1
• Filed: 02/03/2000
• Issued: 03/06/2001
• Est. Priority Date: 06/16/1997
• Status: Expired due to Fees

• Current Assignee: Soprane
• Original Assignee: Soprane
• Inventors: Watrelot, ANtoine, Riou, Lionel, Loubens, Thierry
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/445,452
• Time in Patent Office: 397 Days
• Field of Search: 606/139, 606/144, 606/147, 606/148, 606/219, 606/222, 606/1
• US Class Current: 606/139
• 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 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488

Abstract

An applicator for setting a needle secured to a suture thread, a method of assembling the applicator and a method of using the applicator. The applicator includes an elongated sleeve comprising a bore, a first end and a second end, the needle being disposed within the bore near the second end, a rod having a first end and a second end, the second end being adapted to slide within the bore and rest adjacent the needle, and a retaining mechanism for maintaining the position of the rod with respect to the elongated sleeve. The method of assembling includes securing the suture thread to the needle, placing the needle and a portion of the thread into the bore of the elongated sleeve, introducing the second end of the rod into the bore until it is positioned adjacent the needle, retaining the first end of the rod on the retaining mechanism, and retaining the first end of the elongated sleeve on the retaining mechanism. The method of using includes releasing the first end of the rod from the retaining mechanism, releasing the first end of the elongated sleeve from the retaining mechanism, and moving the first end of the rod towards the first end of the elongated sleeve, wherein the second end of the rod forces the needle out of the second end of the elongated sleeve when the rod is moved.

Claims

1. An applicator for setting a needle secured to a suture thread, the applicator comprising:

an elongated sleeve comprising a bore, a first end and a second end, the needle being disposed within the bore near the second end;

a rod having a first end and a second end, the second end being adapted to slide within the bore and rest adjacent the needle; and

a retaining mechanism for maintaining the position of the rod with respect to the elongated sleeve.

2. The applicator of claim 1, wherein the second end of the rod rests against the needle.

3. The applicator of claim 1, wherein needle can exit the bore from the second end of the elongated sleeve when the second end of the rod is moved into contact with the needle.

4. The applicator of claim 1, wherein the first end of the elongated sleeve comprises a tensioning mechanism disposed within the bore.

5. The applicator of claim 4, wherein the tensioning mechanism traps the suture thread between an inside surface of the bore and an outside surface of the tensioning mechanism.

6. The applicator of claim 5, wherein the first end of the elongated tube comprises an internal housing and wherein the tensioning mechanism comprises a flexible ring, the flexible ring being disposed within the internal housing.

7. The applicator of claim 1, wherein the retaining mechanism comprises a plate having at least a first and second gripper, the first gripper being adapted to retain the first end of the rod and the second gripper being adapted to retain the first end of the elongated sleeve.

8. The applicator of claim 7, wherein the plate comprises an oblong shape.

9. The applicator of claim 1, wherein the first end of the elongated sleeve comprises a cylindrical head portion which is larger than the second end of the elongated sleeve.

10. The applicator of claim 9, wherein the cylindrical head portion comprises a recess which is engageable with a gripper of the retaining mechanism.

11. The applicator of claim 1, wherein the first end of the rod comprises a stop portion which is larger than the second end of the rod.

12. The applicator of claim 11, wherein the stop portion comprises a recess which is engageable with a gripper of the retaining mechanism.

13. The applicator of claim 1, wherein the first end of the elongated sleeve comprises a cylindrical head portion which is larger than the second end of the elongated sleeve, the cylindrical head portion comprising a recess which is engageable with a second gripper of the retaining mechanism and wherein the first end of the rod comprises a stop portion which is larger than the second end of the rod, the stop portion comprising a recess which is engageable with a first gripper of the retaining mechanism.

14. The applicator of claim 13, wherein a distance between the first and second grippers corresponds to a distance which is less than a length of the needle disposed within the bore so that the needle is set back some distance from the second end of the elongated sleeve.

15. The applicator of claim 1, wherein retaining mechanism comprises a through hole for allowing the suture thread to pass therethrough.

16. The applicator of claim 15, wherein the through hole is centrally disposed on a plate of the retaining mechanism.

17. The applicator of claim 15, wherein the through hole cooperates with a slit which opens to a peripheral groove formed on a plate of the retaining mechanism.

18. The applicator of claim 17, wherein the peripheral groove formed on the plate comprises an area for retaining a portion of the suture thread which is wrapped therein.

19. The applicator of claim 1, wherein the second end of the rod comprises a hook shaped notch.

20. The applicator of claim 19, wherein the hook shaped notch is oriented at an angle of 30 degrees relative to a center axis of the bore.

21. The applicator of claim 19, wherein the hook shaped notch extends less than half way across a diameter of the second end of the rod.

22. The applicator of claim 1, wherein the second end of the elongated sleeve comprises at least one channel which is parallel to an axis of the bore and a slit which is perpendicular to the at least one channel.

23. The applicator of claim 22, wherein the at least one channel comprises two channels which are diametrically opposed.

24. The applicator of claim 23, wherein each channel comprises a v-shaped profile so that each channel is wider near the second end and narrower near the first end of the elongated sleeve.

25. The applicator of claim 24, wherein each channel extends deeper into a side wall of the second end than a depth near the first end of the elongated sleeve.

26. The applicator of claim 24, wherein the slit comprises a rounded profile whose diameter substantially corresponds to a width of at least one channel near the second end of the elongated sleeve.

27. The applicator of claim 22, wherein the slit extends across the bore at the second end of the elongated sleeve.

28. The applicator of claim 22, wherein the first end of the elongated sleeve comprises a recess which is oriented to the at least one channel.

29. An applicator for setting a needle secured to a suture thread, the applicator comprising:

an elongated sleeve comprising a handle, a free end and a bore extending from the handle to the free end, the needle being disposed within the bore near the free end;

a rod comprising a handle and a free end, the free end being adapted to slide within the bore so as to rest adjacent the needle; and

a retaining mechanism for maintaining the position of the rod with respect to the elongated sleeve, the retaining mechanism comprising a plate, a first gripper and a second gripper,

wherein the first gripper releasably secures the handle of the rod and wherein the second gripper releasably secures the handle of the elongated sleeve.

30. A method of assembling an applicator for setting a needle secured to a suture thread, the applicator comprising an elongated sleeve comprising a bore, a first end and a second end, the needle being disposed within the bore near the second end, a rod having a first end and a second end, the second end being adapted to slide within the bore and rest adjacent the needle, and a retaining mechanism for maintaining the position of the rod with respect to the elongated sleeve, the method comprising:

securing the suture thread to the needle;

placing the needle and a portion of the thread into the bore of the elongated sleeve;

introducing the second end of the rod into the bore until it is positioned adjacent the needle;

retaining the first end of the rod on the retaining mechanism; and

retaining the first end of the elongated sleeve on the retaining mechanism.

31. A method of using an applicator for setting a needle secured to a suture thread, the applicator comprising an elongated sleeve comprising a bore, a first end and a second end, the needle being disposed within the bore near the second end, a rod having a first end and a second end, the second end being adapted to slide within the bore and rest adjacent the needle, and a retaining mechanism for maintaining the position of the rod with respect to the elongated sleeve, the method comprising:

releasing the first end of the rod from the retaining mechanism;

releasing the first end of the elongated sleeve from the retaining mechanism; and

moving the first end of the rod towards the first end of the elongated sleeve,

wherein the second end of the rod forces the needle out of the second end of the elongated sleeve when the rod is moved.