Ventral hernia repair with barbed suture

• US 9,398,943 B2
• Filed: 11/10/2010
• Issued: 07/26/2016
• Est. Priority Date: 11/30/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Criscuolo, Christopher J., Glick, Jonathan, Kosa, Timothy D., Primavera, Michael, Slisz, Kevin
• Primary Examiner(s): ORKIN, ALEXANDER J
• Application Number:
  US12/943,107
• Publication Number:
  US 20110130774A1
• Time in Patent Office: 2,085 Days
• Field of Search: 606/151, 623/23.72
• US Class Current: 1/1
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor

Abstract

The present disclosure is directed to a method and system for the repair of ventral hernias. The method includes the steps of providing a needle; providing a barbed suture having a distal end attached to the needle; providing a surgical mesh; rolling the surgical mesh, the barbed suture, and the needle to form a rolled mesh having the needle oriented substantially parallel to a longitudinal axis of the rolled mesh; transferring the rolled mesh into a body cavity via a laparoscopic device; unrolling and laying the surgical mesh under a ventral hernia in an abdominal wall; threading the needle and barbed suture through the surgical mesh and the abdominal wall; and trimming the barbed suture.

Claims

1. A method of laparoscopic repair of a ventral hernia, comprising the steps of:

a. providing a needle;

b. providing a barbed suture having a distal end attached to said needle;

c. providing a surgical mesh;

d. rolling said surgical mesh, said barbed suture, and said needle to form a rolled mesh having said needle positioned within a perimeter of said rolled mesh and oriented substantially parallel to a longitudinal axis of said rolled mesh;

e. transferring said rolled mesh into a body cavity via a laparoscopic device;

f. unrolling and laying said surgical mesh under a ventral hernia in an abdominal wall;

g. threading said needle and barbed suture through said surgical mesh and said abdominal wall; and

h. trimming said barbed suture.

2. The method according to claim 1, wherein the threading step further comprises the step of performing a second threading back along a path of the previous threading.

3. The method according to claim 1, wherein the threading step further comprises the step of performing a second threading perpendicular to a path of the previous threading.

4. The method according to claim 1, wherein said laparoscopic device is a trocar.

5. The method according to claim 1, further comprising the step of attaching said barbed suture to said surgical mesh prior to said rolling step.

6. The method according to claim 5, further comprising the step of attaching said barbed suture to said surgical mesh at a proximal end of said barbed suture.

7. The method according to claim 5, further comprising the step of attaching said barbed suture to said surgical mesh through a loop at a proximal end of said barbed suture.

8. The method according to claim 5, further comprising the step of attaching said barbed suture to said surgical mesh with a suture tie at a proximal end of said barbed suture.

9. The method according to claim 1, wherein the step of rolling the mesh further includes threading the needle through the mesh along the longitudinal X-axis of the rolled mesh to secure the needle during transport.

10. A method of laparoscopic repair of a ventral hernia, comprising the steps of:

a. providing a barbed suture having a distal end attached to a needle;

b. attaching said barbed suture to a surgical mesh through a loop at a proximal end of said barbed suture;

c. rolling said surgical mesh and said barbed suture to form a rolled mesh having said needle oriented substantially parallel to a longitudinal axis of said rolled mesh;

d. transferring said rolled mesh into a body cavity via a laparoscopic device;

e. unrolling and laying said surgical mesh under a ventral hernia in an abdominal wall;

f. threading said needle and barbed suture through said surgical mesh and said abdominal wall; and

g. trimming said barbed suture.