Self-retaining sutures with bi-directional retainers or uni-directional retainers

• US 8,876,865 B2
• Filed: 04/14/2009
• Issued: 11/04/2014
• Est. Priority Date: 04/15/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Goraltchouk, Alexei, Drubetsky, Lev, Cummings, Gerald F., Herrmann, Robert A., Naimagon, Alexander
• Primary Examiner(s): Tyson, Melanie
• Assistant Examiner(s): Scherbel, Todd J
• Application Number:
  US12/937,776
• Publication Number:
  US 20110288583A1
• Time in Patent Office: 2,030 Days
• Field of Search: 606228-231
• US Class Current: 606/228
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence

Abstract

Provided herein are sutures for use in a procedure applied to tissue, and methods for forming such sutures. Some sutures include bi-directional retainers, each of which can be deployed in two directions, but once deployed in one direction, resist motion in the opposite direction. Other sutures include uni-directional retainers that are conical in shape, and include tissue engaging protrusions that extend from edges and/or angled walls of the conical retainers.

Claims

1. A suture to be used in a procedure applied to tissue, comprising:

an elongated suture body including first and second ends; and

a plurality of bi-directional retainers spaced apart from one another and extending from said elongated suture body between said first and second ends;

wherein each bi-directional retainer is capable of initially being deployed through tissue in either one of a first or second direction, wherein said first and second directions are opposite one another, wherein;

each bi-directional retainer can be collapsed in either of said first or second direction prior to deployment in tissue, the direction of collapse being dependent upon the direction in which the bi-directional retainer is deployed through tissue;

once said bi-directional retainer is collapsed due to the bi-directional retainer being deployed through tissue in the first direction, the bi-directional retainer will yield to motion of the elongated suture body within the tissue when the elongated suture body is drawn in the first direction, and will resist motion of the elongated suture body in the second direction; and

once said bi-directional retainer is collapsed due to the bi-directional retainer being deployed through tissue in the second direction, the bi-directional retainer will yield to motion of the elongated suture body within the tissue when the elongated suture body is drawn in the second direction, and will resist motion of the elongated suture body in the first direction, and wherein each bi-directional retainer includes grooves that guide how the bi-directional retainer collapses.

2. The suture of claim 1, wherein said bi-directional retainer collapses in said second direction when the bi-directional retainer is deployed through tissue in said first direction.

3. The suture of claim 1, wherein said grooves of each bi-directional retainer extend radially, from a location at which the bi-directional retainer is attached to said elongated suture body, to an outer edge of the bi-directional retainer.

4. The suture of claim 1, wherein each of said bi-directional retainers include vents to prevent air from getting trapped as said bi-directional retainers are deployed through tissue.

5. The suture of claim 1, wherein each of said bi-directional retainers, prior to being deployed through tissue, extend radially from and perpendicular to said elongated suture body.

6. The suture of claim 1, wherein said elongated suture body and said bi-directional retainers comprise a one piece structure.

7. The suture of claim 1, wherein:

each of said bi-directional retainers includes an opening therethrough;

said suture body is threaded through said openings of said bi-directional retainers; and

said bi-directional retainers are attached to said suture body such that said bi-directional retainers are spaced apart from one another between said first and second ends of said elongated suture body.

8. The suture of claim 1, further comprising tissue engaging protrusions that extend from edges of said bi-directional retainers.

9. A suture to be used in a procedure applied to tissue, comprising:

an elongated suture body including first and second ends; and

a plurality of bi-directional retainers spaced apart from one another and extending from said elongated suture body between said first and second ends;

wherein each bi-directional retainer is capable of initially being deployed through tissue in either one of a first or second direction, wherein said first and second directions are opposite one another, and once deployed in said tissue in said first direction, said retainer resists movement of the suture in the second direction, and once deployed in said tissue in said second direction, said retainer resists movement of the suture in the first direction, wherein each retainer includes grooves, perforations, or other fold lines along which the retainer can bend when the retainer is deployed through tissue, and wherein said grooves, perforations, or other fold lines of a said retainer extend radially, from a location at which the retainer is attached to said elongated suture body, to an outer edge of the retainer.