Instrument for closing trocar puncture wounds

• US 5,403,329 A
• Filed: 03/21/1994
• Issued: 04/04/1995
• Est. Priority Date: 09/23/1992
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Hinchcliffe, Peter W. J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/216,073
• Time in Patent Office: 379 Days
• Field of Search: 606/139, 606/144, 606/145, 606/147, 606/148, 606/146, 606/150, 606/210, 606/211, 606/205-208, 606/184-187, 112/80.03, 112/169
• US Class Current: 606/147
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/047 having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body J-shaped suture needles A61B2017/0608
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end

Abstract

An instrument for closing trocar puncture wounds having a handle assembly with a stationary portion and a movable portion; an elongated portion attached at a proximal end thereof to the stationary portion of the handle assembly; and needle deploying means associated with the elongated portion. The needle deploying means includes: an actuator member having a proximal end operably connected to the movable portion of the handle assembly and a distal end disposed adjacent a distal end of the elongated portion, the actuator member being slidable between a first position and a second position; and at least one needle carrier member mounted adjacent the distal end of the actuator member, the needle carrier being slidable relative to the actuator member upon movement thereof, between a retracted position substantially within the elongated portion and an extended position substantially without the elongated portion. The instrument of the present invention also provides a novel suture retaining feature including at least one elongated channel disposed along the actuator member such that a length of suture may be received and retained within the channel and carried therein, between the elongated portion and the actuator member.

Claims

1. An instrument for closing puncture wounds comprising:

a) a handle assembly having a stationary portion and a movable portion;

b) an elongated portion having a longitudinal axis, said elongated portion attached at a proximal end thereof to said stationary portion of said handle assembly; and

c) surgical needle deploying means associated with said elongated portion, said needle deploying means including;

i. an actuator member having a proximal end operably connected to said movable portion of said handle assembly and a distal end disposed adjacent a distal end of said elongated portion, said actuator member being slidable between a first position and a second position;

ii. at least one needle carrier assembly mounted to said actuator member adjacent said distal end thereof, said at least one needle carrier assembly being slidable relative to said actuator member upon movement thereof, wherein said at least one needle carrier assembly is movable between a retracted position substantially within said elongated portion and an extended position disposed a predetermined distance from said longitudinal axis spaced radially from said longitudinal axis and whereby said at least one needle carrier assembly is substantially outside of said elongated portion; and

iii. a needle positioned within said needle carrier.

2. An instrument for closing puncture wounds according to claim 1 wherein said actuator member includes at least one camming surface formed in said distal end which is slidably engaged by said at least one needle carrier assembly such that upon longitudinal reciprocal movement of said actuator member said at least one needle carrier assembly is urged between said retracted position and said extended position.

3. An instrument for closing puncture wounds according to claim 1 further comprising means associated with said distal end of said elongated portion for aligning said at least one needle carrier relative to said actuator member.

4. An instrument for closing puncture wounds according to claim 3 wherein said aligning means includes an elongated plug member mountable adjacent said distal end of said elongated portion, said plug member having at least one substantially transverse groove defined by at least one wall portion, said wall portion being configured and dimensioned for receiving said at least one needle carrier such that said at least one needle carrier assembly is slidable within said groove between said retracted position and said extended position.

5. An instrument for closing puncture wounds according to claim 4 wherein said wall portion is provided with a boss portion longitudinally aligned with a predetermined direction of travel of said at least one needle carrier assembly for cooperating therewith such that said at least one needle carrier assembly is guided by said boss portion in said predetermined direction of travel.

6. An instrument for closing puncture wounds according to claim 5 wherein said at least one needle carrier assembly is provided with a slot thereon such that said slot cooperates with said boss portion of said substantially transverse groove of said plug member.

7. An instrument for closing puncture wounds according to claim 1 wherein said at least one needle carrier assembly includes a pair of needle carrying assemblies.

8. An instrument for closing puncture wounds according to claim 7 wherein said pair of needle carring assemblies are diametrically opposed with respect to each other.

9. An instrument for closing puncture wounds according to claim 1 wherein said actuator member has means disposed thereon for receiving and retaining a length of suture between said actuator member and said elongated portion.

10. An instrument for closing puncture wounds according to claim 9 wherein said suture receiving and retaining means includes at least one elongated channel disposed along said actuator member such that a length of suture may be received and retained within said channel and carried therein, between said elongated portion and said actuator member.

11. An instrument for closing puncture wounds according to claim 10 wherein said suture receiving and retaining means further includes at least one retaining member associated with said actuator member adjacent said at least one elongated channel such that a length of suture disposed in said channel is removably held therein.

12. An instrument for closing puncture wounds according to claim 11 wherein said at least one retaining member is a resilient annular member.

13. An instrument for closing puncture wounds according to claim 12 wherein said actuator member includes an annular groove formed therein adjacent said proximal end such that said at least one retaining member fits within said groove.

14. An instrument for closing puncture wounds according to claim 1 wherein said elongated portion is configured and dimensioned for insertion into the body through a trocar cannula.

15. Instrument for closing puncture wounds comprising:

a) elongated housing having a longitudinal groove adjacent a distal end thereof;

b) at least one needle deployably mounted and disposed within said groove of said housing; and

c) means associated with said housing for operably deploying said needle between a retracted position substantially within said groove and an extended position radially spaced from said groove, at least one needle carrier member for replaceably receiving said at least one needle therein, said at least one needle carrier member slidably disposed on said needle deploying means and movable between a first position and a second position spaced a predetermined distance from said longitudinal axis.

16. An instrument for closing puncture wounds according to claim 15, further comprising a handle assembly including a stationary handle portion securely attached to a proximal end of said elongated housing and a slidable handle portion operatively associated with said needle deploying means.

17. An instrument for closing puncture wounds according to claim 15, wherein said needle deploying means includes a camming pin engageable with said at least one needle carrier member for deployment thereof.

18. An instrument for closing puncture wounds according to claim 17, wherein said needle deploying means further includes an actuator member operatively associated with said pin engaging said actuator member.

19. An instrument for closing puncture wounds according to claim 18, wherein said actuator member defines an elongated slot for slidably receiving said pin and said pin is fixedly attached to said at least one needle carrier member.

20. An instrument for closing puncture wounds according to claim 15, wherein said needle deploying means includes a elongated actuator member movable relative said elongated housing and an aligning member fixed relative to said elongated housing and operatively associated with said elongated actuator member to facilitate movement of said at least one needle carrier member between said first and second positions.

21. An instrument for closing puncture wounds according to claim 20, wherein said elongated actuator member defines a cam slot operatively associated with said at least one needle carrier member.

22. An instrument for closing puncture wounds comprising:

a) a handle assembly having a stationary portion and a movable portion;

b) an elongated portion attached at a proximal end thereof to said stationary portion of said handle assembly;

c) needle deploying means associated with said elongated portion, said needle deploying means including;

i. an actuator member having a proximal end operably connected to said movable portion of said handle assembly and a distal end disposed adjacent a distal end of said elongated portion, said actuator member being slidable between a first position and a second position; and

ii. at least one needle carrier assembly mounted adjacent said distal end of said actuator member, said at least one needle carrier assembly being movable relative to said actuator member upon movement thereof, wherein said at least one needle carrier assembly is movable between a retracted position substantially within said elongated portion and an extended position substantially outside said elongated portion; and

d) at least two elongated grooves associated with said actuator member, said grooves being dimensioned to accommodate a suture.