Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing
First Claim
1. A method of delivering a transfascial suture, the method comprising acts of:
- (a) providing a soft tissue repair prosthetic and a suturing instrument in an abdominal cavity of a patient with the soft tissue repair prosthetic located between the suturing instrument and the abdominal wall, the soft tissue repair prosthetic including a first surface facing away from the abdominal wall and a second surface facing toward the abdominal wall, the suturing instrument including a distal end facing the first surface and the suturing instrument not passing through the soft tissue repair prosthetic, the suturing instrument including a suture defined by a pair of suture segments and an intermediate segment extending continuously between and connecting the suture segments, the intermediate segment including a suture force distributing member;
(b) passing, from within the abdominal cavity, each suture segment in a distal direction beyond the distal end of the suturing instrument first through the first surface of the soft tissue repair prosthetic and then through the second surface and at least a part of the abdominal wall; and
(c) positioning the suture force distributing member against the first surface of the soft tissue repair prosthetic to spread forces applied along the intermediate segment.
1 Assignment
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Accused Products
Abstract
An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may be moveable relative to the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.
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Citations
79 Claims
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1. A method of delivering a transfascial suture, the method comprising acts of:
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(a) providing a soft tissue repair prosthetic and a suturing instrument in an abdominal cavity of a patient with the soft tissue repair prosthetic located between the suturing instrument and the abdominal wall, the soft tissue repair prosthetic including a first surface facing away from the abdominal wall and a second surface facing toward the abdominal wall, the suturing instrument including a distal end facing the first surface and the suturing instrument not passing through the soft tissue repair prosthetic, the suturing instrument including a suture defined by a pair of suture segments and an intermediate segment extending continuously between and connecting the suture segments, the intermediate segment including a suture force distributing member; (b) passing, from within the abdominal cavity, each suture segment in a distal direction beyond the distal end of the suturing instrument first through the first surface of the soft tissue repair prosthetic and then through the second surface and at least a part of the abdominal wall; and (c) positioning the suture force distributing member against the first surface of the soft tissue repair prosthetic to spread forces applied along the intermediate segment. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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29. A method of delivering a transfascial suture, the method comprising acts of:
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(a) inserting a suturing instrument into an abdominal cavity, the suturing instrument having a pair of needles and loaded with at least one continuous suture defined by a pair of suture segments, each suture segment connected to a suture retainer, each needle associated with one of the suture retainers, the suturing instrument including a distal end with each needle being extendable beyond the distal end; (b) advancing each of the needles in a distal direction beyond the distal end of the suturing instrument and in the distal direction outwardly from within the abdominal cavity through at least a part of the abdominal wall, and passing each suture retainer outwardly from within the abdominal cavity through the at least a part of the abdominal wall; and (c) retracting each of the needles inwardly back through the at least a part of the abdominal wall and into the abdominal cavity to deploy each suture retainer outside the abdominal cavity by separating each suture retainer from the suturing instrument while the suturing instrument is located within the abdominal cavity. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50)
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51. A method of delivering a transfascial suture, the method comprising acts of:
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(a) providing a soft tissue repair prosthetic in an abdominal cavity, the soft tissue repair prosthetic including a first surface facing away from the abdominal wall and a second surface facing toward the abdominal wall; (b) providing a suturing instrument including a distal end in the abdominal cavity with the distal end of the suturing instrument facing the first surface and the suturing instrument not passing through the soft tissue repair prosthetic, the suturing instrument including a suture defined by a pair of suture segments and an intermediate segment extending continuously between and connecting the pair of suture segments, each suture segment including a suture retainer; (c) passing, from within the abdominal cavity, each of the suture retainers in a distal direction beyond the distal end of the suturing instrument first through the first surface of the soft tissue repair prosthetic and then through the second surface of the soft tissue repair prosthetic and at least a part of the abdominal wall to outside the abdominal cavity, each of the suture segments following a respective suture retainer through the soft tissue repair prosthetic and abdominal wall; and (d) after act (c), securing together the pair of suture segments outside the abdominal cavity. - View Dependent Claims (52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72)
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73. A method of delivering a transfascial suture, comprising acts of:
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(a) providing a soft tissue repair prosthetic and a suturing instrument loaded with a suture and a force distributing member in an abdominal cavity, the soft tissue repair prosthetic including a first surface facing away from the abdominal wall and a second surface facing toward the abdominal wall, the suturing instrument including a distal end in the abdominal cavity with the distal end of the suturing instrument facing the first surface and the suturing instrument not passing through the soft tissue repair prosthetic; (b) after act (a), creating an opening through the soft tissue repair prosthetic using an inside-out technique by first passing, from within the abdominal cavity, the suture through the first surface of the soft tissue repair prosthetic and then through the second surface before passing the suture through at least a part of the abdominal wall; and (c) covering, from within the abdominal cavity, at least part of the opening in the soft tissue repair prosthetic with the force distributing member carried by the suture. - View Dependent Claims (74, 75, 76, 77, 78, 79)
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Specification