Insertable suture grasping probe guide, and methodology for using same
DCFirst Claim
1. A device for accurately guiding and positioning a surgical instrument bearing suture material to a predetermined area within the body for closing an open wound, comprising:
- a guide means having a longitudinal axis and distal and proximal ends, and further having a depth-limiting extending lip near said distal end of said guide means and being generally perpendicular to said longitudinal axis, wherein said proximal end is for insertion into the wound to a depth limited and determined by said extending lip, said guide means defining therein at least one generally linear passageway therethrough at a first diverging angle less than 90°
from said longitudinal axis, and providing for exit holes above and below said lip, wherein said proximal end of said guide is tapered and positionable within said wound with the lip portion above the wound to be closed and the surgical instrument carrying suture material passed through said passageway at said angle to the predetermined area within the body to assist in closing the open wound.
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Accused Products
Abstract
A surgical instrument, guide and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue with the tip of the surgical instrument in a standard suture/needle driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip and inserting the tip/suture through tissue until the tip is seen through the peritoneum by direct vision, wherein the suture is released by opening and withdrawing the tip from the guide, and recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion wherein the tip grasps the suture and pulls the suture through the guide, and outside the wound providing for rapid closure of the surgical incision, and wherein a guide insertable within the wound to be closed guides the surgical instrument at a predetermined angle from the longitudinal axis of the guide.
401 Citations
15 Claims
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1. A device for accurately guiding and positioning a surgical instrument bearing suture material to a predetermined area within the body for closing an open wound, comprising:
- a guide means having a longitudinal axis and distal and proximal ends, and further having a depth-limiting extending lip near said distal end of said guide means and being generally perpendicular to said longitudinal axis, wherein said proximal end is for insertion into the wound to a depth limited and determined by said extending lip, said guide means defining therein at least one generally linear passageway therethrough at a first diverging angle less than 90°
from said longitudinal axis, and providing for exit holes above and below said lip, wherein said proximal end of said guide is tapered and positionable within said wound with the lip portion above the wound to be closed and the surgical instrument carrying suture material passed through said passageway at said angle to the predetermined area within the body to assist in closing the open wound. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
- a guide means having a longitudinal axis and distal and proximal ends, and further having a depth-limiting extending lip near said distal end of said guide means and being generally perpendicular to said longitudinal axis, wherein said proximal end is for insertion into the wound to a depth limited and determined by said extending lip, said guide means defining therein at least one generally linear passageway therethrough at a first diverging angle less than 90°
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9. A method of suturing an open wound comprising the steps of:
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(a) providing a guide; (b) grasping and inserting a tip means for passing suture material through a first passageway in said guide until reaching tissue and until said tip means is seen through the peritoneum by way of a surgical camera; (c) releasing said suture material and withdrawing said tip means from said guide, and leaving the suture material in place; (d) inserting said tip means in a second passageway defined within said guide and appositely adjacent directing said tip means to a point where the suture material first left the body; (e) grasping said suture material with said tip means; (f) retrieving said suture material with said tip means through said guide outside the wound; and (g) removing said guide means from the wound and tying ends of said suture material together to provide closure of the wound. - View Dependent Claims (10, 11, 12, 13, 14, 15)
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Specification