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Instruments for delivering transfascial sutures, transfascial assemblies, and methods of transfascial suturing

  • US 9,393,007 B2
  • Filed: 06/09/2011
  • Issued: 07/19/2016
  • Est. Priority Date: 06/09/2010
  • Status: Active Grant
First Claim
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1. An instrument for delivering a transfascial suture, comprising:

  • an actuation handle to actuate the instrument;

    an elongated shaft extending from the handle and including a distal end;

    a first needle and a second needle that are operatively coupled to the actuation handle, the first and second needles being moveable to an extended position beyond the distal end of the shaft in response to actuation of the instrument and to a retracted position within the shaft, each needle being solid and having a sharp end adapted to pierce a soft tissue repair prosthetic and abdominal wall tissue; and

    a suture carried by the instrument, the suture defined by a first segment, a second segment and an intermediate segment between the first and second segments and including an implantable force distributing member at the intermediate segment between the first and second segments, the force distributing member constructed and arranged to be positioned between and against the intermediate segment and the soft tissue repair prosthetic when the soft tissue repair prosthetic is secured to the abdominal wall tissue with the suture to distribute force applied along the intermediate segment, the first and second suture segments individually extending from the force distributing member at first and second locations thereof separated from each other by a portion of the force distributing member, the intermediate segment to extend directly from the first location to the second location against the portion of the force distributing member when the soft tissue repair prosthetic is secured to the abdominal wall tissue with the suture, the suture arranged in the instrument so that the first and second suture segments are coupled to an external portion of the first and second needles and carried by the needles as the needles move to the extended position, the suture segments being releasable from the needles.

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