Laparoscopic suture device with asynchronous in-line needle movement

• US 9,168,037 B2
• Filed: 06/09/2011
• Issued: 10/27/2015
• Est. Priority Date: 06/17/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Woodard, James A. Jr., Shelton, Frederick E. IV, Lesko, Jason R., Baxter, Chester O. III
• Primary Examiner(s): Woo, Julian W
• Assistant Examiner(s): David, Shaun L
• Application Number:
  US13/156,420
• Publication Number:
  US 20110313433A1
• Time in Patent Office: 1,601 Days
• Field of Search: 606144-146, 606/148, 289/17, 112/169
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

An apparatus comprises a shaft, a needle throwing arm, and a needle receiving arm. The arms are movable asynchronously along planes that are substantially parallel to a longitudinal axis defined by the shaft. The arms selectively engage a surgical needle, such that the throwing arm may pass the surgical needle through tissue for receipt by the receiving arm, and the receiving arm may then pass the surgical needle back to the throwing arm for additional stitching. The arms may pivot about a common pivot. Such versions may include a single actuator for both arms or separate actuators for the arms. The arms may also pivot about their own respective axles, which may facilitate a forward reset motion for a needle, allowing the needle to continue travelling along a circular path in a single direction to create several stitches. The apparatus may also convert reciprocating movement of actuators into rotational motion.

Claims

1. An apparatus, comprising:

(a) a shaft, wherein the shaft defines a longitudinal axis; and

(b) an end effector, wherein the end effector comprises;

(i) a needle throwing arm, wherein the needle throwing arm is operable to selectively engage a surgical needle, wherein the needle throwing arm is movable along a plane that is substantially parallel to the longitudinal axis of the shaft,

(ii) a needle receiving arm, wherein the needle receiving arm is operable to selectively engage a surgical needle transferred from the needle throwing arm, wherein the needle receiving arm is movable along a plane that is substantially parallel to the longitudinal axis of the shaft,

(iii) a first axle, wherein the needle throwing arm is pivotable about the first axle, and

(iv) a second axle, wherein the needle receiving arm is pivotable about the second axle,

wherein the first axle is separate from the second axle such that a gap is defined between the first axle and the second axle,

wherein the end effector is operable to move the needle throwing arm and the needle receiving arm in an asynchronous fashion to repeatedly pass a surgical needle from the needle throwing arm to the needle receiving arm and back to the needle throwing arm along a circular path, wherein the circular path defines a plane that is substantially parallel to the longitudinal axis of the shaft such that the end effector is operable to move the surgical needle through at least one full revolution along the circular path.

2. The apparatus of claim 1, wherein the end effector includes a pivot, wherein the pivot is fixed relative to the shaft, wherein the needle throwing arm is pivotable about the pivot, wherein the needle receiving arm is also pivotable about the pivot.

3. The apparatus of claim 1, wherein the first axle is aligned with the second axle.

4. An apparatus, comprising:

(a) a shaft, wherein the shaft defines a longitudinal axis; and

(b) an end effector, wherein the end effector comprises;

(i) a needle throwing arm, wherein the needle throwing arm is operable to selectively engage a surgical needle,

(ii) a first axle, wherein the needle throwing arm is pivotable about the first axle along a plane that is substantially parallel to the longitudinal axis of the shaft,

(iii) a needle receiving arm, wherein the needle receiving arm is operable to selectively engage a surgical needle transferred from the needle throwing arm, and

(iv) a second axle, wherein the needle receiving arm is pivotable about the second axle along a plane that is substantially parallel to the longitudinal axis of the shaft,

wherein the first axle is aligned with the second axle,

wherein the end effector is operable to repeatedly pass a surgical needle from the needle throwing arm to the needle receiving arm and back to the needle throwing arm by rotating the needle throwing arm in full revolutions and by rotating the needle receiving arm in full revolutions.

5. The apparatus of claim 4, wherein the end effector is operable to repeatedly pass a surgical needle from the needle throwing arm to the needle receiving arm and back to the needle throwing arm by moving the needle along a circular path in a single angular direction.

6. An apparatus, comprising:

(a) a shaft, wherein the shaft defines a longitudinal axis;

(b) an end effector, wherein the end effector comprises;

(i) a needle throwing arm, wherein the needle throwing arm includes a needle grasping feature operable to selectively engage a surgical needle,

(ii) a first axle, wherein the needle throwing arm is pivotable about the first axle along a plane that is substantially parallel to the longitudinal axis of the shaft;

(iii) a needle receiving arm, wherein the needle receiving arm includes a needle grasping feature operable to selectively engage a surgical needle transferred from the needle grasping feature of the needle throwing arm, and

(iv) a second axle, wherein the needle receiving arm is pivotable about the second axle along a plane that is substantially parallel to the longitudinal axis of the shaft, wherein the first axle is aligned with the second axle;

(c) a first actuator, wherein the first actuator is operable to move the needle grasping feature of the needle throwing arm along a substantially circular path only in a single direction upon reciprocation of the first actuator relative to the shaft; and

(d) a second actuator, wherein the second actuator is operable to move the needle grasping feature of the needle receiving arm along a substantially circular path only in a single direction upon reciprocation of the second actuator relative to the shaft;

wherein the end effector is operable to repeatedly pass a surgical needle from the needle throwing arm to the needle receiving arm and back to the needle throwing arm by rotating the needle throwing arm in full revolutions and by rotating the needle receiving arm in full revolutions.