Instrument for closing trocar puncture wounds

• US 5,474,568 A
• Filed: 11/24/1993
• Issued: 12/12/1995
• Est. Priority Date: 10/08/1993
• Status: Expired due to Term

• Current Assignee: GERSHON, NEIL D., ESQ. UNITED STATES SURGICAL CORP., United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Scott, Ian M.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/158,072
• Time in Patent Office: 748 Days
• Field of Search: 606/139, 606/144, 606/145, 606/147, 606/148, 606/151, 606/205, 606/207, 112/80.03, 112/169
• US Class Current: 606/144
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• 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 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end

Abstract

A surgical instrument for applying sutures through body tissue including a handle assembly, an elongated housing removably mounted to said handle assembly and having a proximal end portion and a distal end portion, at least one needle carrier operatively mounted in the distal end portion and movable between a retracted position and a deployed position, and a needle releasably retained in the needle carrier member. The instrument may also include a retaining mechanism adapted to retain the at least one needle carrier in the partially deployed position.

Claims

1. A surgical instrument for applying sutures through body tissue, which comprises

(a) a handle assembly;

(b) an elongated housing extending from said handle assembly and having a proximal end portion and a distal end portion, said elongated housing being removably mounted to said handle assembly;

(c) at least one needle carrier operatively connected to said elongated housing for carrying at least one needle, said needle carrier being movable between a retracted position and an extended position; and

(d) at least one needle positioned on said at least one needle carrier, said at least one needle having a sharp tip movable from a protected position to an exposed position to facilitate penetration of tissue.

2. A surgical instrument for applying sutures through body tissue according to claim 1, further comprising an elongated member operatively associated with said handle assembly, said elongated member being slidably disposed within said elongated housing and operable from said proximal end thereof to actuate said at least one needle carrier.

3. A surgical instrument for applying sutures through body tissue according to claim 2, wherein said handle assembly comprises at least one pivotable handle, said pivotable handle cooperating with said elongated member such that movement of said pivotable handle actuates said elongated member.

4. A surgical instrument for applying sutures through body tissue according to claim 3, further comprising a gear associated with said at least one pivotable handle for actuating said elongated member.

5. A surgical instrument for applying sutures through body tissue according to claim 4, wherein said elongated member has a plurality of teeth at a proximal end to cooperate with said gear.

6. A surgical instrument for applying sutures through body tissue according to claim 2, wherein said handle assembly comprises a pair of flexible members cooperating with said elongated member.

7. A surgical instrument for applying sutures through body tissue according to claim 6, wherein said elongated member includes a recess and said handle assembly further comprises a lever operatively associated with each of said flexible members and engagable with said recess to drive said elongated member.

8. A surgical instrument for applying sutures through body tissue according to claim 7, wherein squeezing of said flexible members towards a longitudinal axis of said handle assembly moves said elongated member distally.

9. A surgical instrument for applying sutures through body tissue according to claim 2, wherein said handle assembly comprises an elongated body portion and a button protruding therefrom, said button operatively associated with said elongated member.

10. A surgical instrument for applying sutures through body tissue according to claim 9, wherein said button comprises a pivotable lever having a projecting surface for engaging and driving said elongated inner member distally.

11. A surgical instrument for applying sutures through body tissue according to claim 10, wherein said elongated member has an elongated slot and is mounted to said handle assembly by a bayonet mount arrangement.

12. A surgical instrument for applying sutures through body tissue according to claim 1, wherein said needle carrier includes at least one arm member for holding said at least one needle, said at least one arm member releasably holding said at least one needle.

13. A surgical instrument for applying sutures through body tissue according to claim 1, further comprising means associated with said elongated housing for receiving and retaining said at least one needle.

14. A surgical instrument for applying sutures through body tissue according to claim 1, further comprising means for releasably securing said elongated housing within a longitudinal bore of said handle assembly.

15. A surgical instrument for applying sutures through body tissue according to claim 14, wherein said releasably securing means comprises a rotatable screw.

16. A surgical instrument for applying sutures through body tissue according to claim 1, further comprising an actuator movably positioned in said elongated housing, wherein the at least one needle carrier is deployable by movement of the actuator.

20. A surgical instrument for applying sutures through body tissue according to claim 16, wherein said pivotable member is spring biased to first position so that said needle carrier is biased to said retracted position.

17. A surgical instrument for applying sutures through body tissue comprising:

(a) handle assembly having a grip portion and at least one pivotable member;

(b) an elongated housing removably mounted to said handle assembly and having a proximal end and a distal end;

(c) at least one needle;

(d) means operatively connected to said elongated housing, for carrying and deploying said at least one needle having a sharp tip, said carrying and deploying means including at least one needle carrier associated with said distal end of said elongated housing for carrying at least one needle, said at least one needle carrier being movable between a retracted position such that said sharp tip of said at least one needle is disposed substantially within said elongated housing and an extended position upon movement of said pivotable member relative to said grip portion.

18. A surgical instrument for applying sutures through body tissue according to claim 17, further comprising means positioned within said elongated housing for receiving and retaining said at least one needle.

19. A surgical instrument for applying sutures through body tissue according to claim 18, wherein said handle assembly is configured as a pistol grip.

21. A surgical instrument for applying sutures through body tissue comprising:

(a) a handle assembly having a grip portion, at least two pivotable members and a pair of flexible members operatively associated with said at least two pivotable members;

(b) an elongated housing extending from said handle assembly and having a proximal end and a distal end;

(d) at least one needle carrier associated with said distal end of said elongated housing, said at least one needle carrier configured and dimensioned to carry said at least one needle and being movable between a retracted position and an extended position upon movement of said at least two pivotable members.