Instrument for closing trocar puncture wounds

• US 5,527,321 A
• Filed: 07/14/1993
• Issued: 06/18/1996
• Est. Priority Date: 07/14/1993
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Hinchliffe, Peter W. J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/091,793
• Time in Patent Office: 1,070 Days
• Field of Search: 606/139, 606/144, 606/145, 606/147, 606/148, 606/205, 606/207, 112/169, 112/80.03
• 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 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 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

A surgical instrument for applying sutures including an elongated housing having a proximal end and a distal end, means associated with the distal end of the elongated housing for carrying at least one needle, the needle carrier means being movable between a retracted position and an extended position, at least one needle positioned on the needle carrier means, and means associated with the needle carrier means for moving the needle carrier means to the extended position to deploy the at least one needle such that upon movement of the needle carrier means by the moving means, the needle carrier moves from the retracted position to the extended position whereby the at least one needle is caused to travel through a tissue engaging path in one continuous motion. Another embodiment of the surgical instrument of the present invention for applying sutures includes an elongated housing having a proximal end and a distal end and means associated with the distal end of the elongated housing, for carrying and deploying at least two needles at a predetermined distance from each other, the carrying and deploying means being rotatable out of a first plane corresponding to a retracted position and into a second plane corresponding to an extended position while maintaining the at least two needles at the predetermined distance from each other. The instrument preferably further includes at least one needle retaining means associated with the elongated housing for receiving and retaining the at least two needles. The needle retaining means may include a pair of needle receiving pockets disposed within the elongated housing. The needle receiving pockets may be filled with a compliant material or a latch mechanism.

Claims

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

a) an elongated fixed housing having a proximal end and a distal end;

b) a curved needle;

c) a needle carrier member associated with said housing distal end, which carries and deploys said curved needle, said needle carrier member being rotatable between a retracted position and an extended position; and

d) a needle retaining member positioned at least partially within said elongated fixed housing to receive and retain said curved needle therein, said needle retaining member being replaceably mounted on said elongated fixed housing such that said surgical instrument may be re-used upon insertion of an unused replacement receiving and retaining means.

2. A surgical instrument for applying sutures through body tissue according to claim 1 wherein said needle retaining member is disposed at a fixed distance with respect to said distal end of said elongated fixed housing.

3. A surgical instrument for applying sutures through body tissue according to claim 1, further including an elongated actuator rod operatively associated with said needle carrier member, such that said elongated actuator rod is operable from said proximal end of said elongated fixed housing to control movement of said needle carrier member.

4. A surgical instrument for applying sutures through body tissue according to claim 3, wherein said elongated actuator rod is slidably disposed within said elongated fixed housing.

9. 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 curved needle.

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

a) an elongated housing having a proximal end and a distal end, said distal end configured and dimensioned to be inserted in a wound;

b) needle carrier means associated with said distal end of said elongated housing for carrying at least one needle, said needle carrier means being movable between a retracted position and an extended position and including at least one gear mechanism rotatably disposed within said elongated housing;

c) at least one curved needle positioned on said needle carrier means; and

d) rotatable means pivotably attached to said elongated housing and associated with said needle carrier means for rotating said needle carrier means to said extended position to deploy said at least one curved needle such that upon rotation of said needle carrier to said extended position said at least one curved needle is caused to travel through a tissue engaging path in one continuous motion.

6. A surgical instrument for applying sutures through body tissue according to claim 5, further comprising an elongated member slidably disposed within said elongated housing and operable from said proximal end thereof to actuate said rotating means.

7. A surgical instrument for applying sutures through body tissue according to claim 5 wherein said needle carrier means include at least one arm member for holding said at least one curved needle.

8. A surgical instrument for applying sutures through body tissue according to claim 7 wherein said at least one arm member releasably holds said at least one curved needle.

10. A surgical instrument for applying sutures through body tissue according to claim 8 wherein said receiving and retaining means is disposed at a fixed distance with respect to said distal end of said elongated housing.

11. A surgical instrument for applying sutures through body tissue according to claim 10 wherein said receiving and retaining means includes a latch member.

12. A surgical instrument for applying sutures through body tissue according to claim 8 wherein said receiving and retaining means includes a compliant material such that said at least one curved needle becomes retained within said compliant material upon travel of said at least one needle through said tissue engaging path.

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

a) an elongated housing having a proximal end and a distal end, said distal end configured and dimensioned to be inserted in a wound;

b) needle carrier means associated with said distal end of said elongated housing for carrying at least one needle, said needle carrier means being movable between a retracted position and an extended position;

c) at least one curved needle positioned on said needle carrier means;

d) rotatable means pivotably attached to said elongated housing and associated with said needle carrier means for rotating said needle carrier means to said extended position to deploy said at least one curved needle such that upon rotation of said needle carrier to said extended position said at least one curved needle is caused to travel through a tissue engaging path in one continuous motion; and

e) means associated with said elongated housing for receiving and retaining said at least one curved needle, wherein said receiving and retaining means is replaceably mounted on said elongated housing such that said surgical instrument may be re-used upon insertion of an unused replacement receiving and retaining means.

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

a) an elongated housing having a proximal end and a distal end;

b) at least one curved needle;

c) means associated with said elongated housing for carrying and deploying said at least one curved needle, said carrying and deploying means including at least one needle carrier associated with said distal end of said elongated housing, for carrying said at least one curved needle therein, said needle carrier being movable between a retracted position and an extended position;

d) means for actuating said carrying and deploying means, said actuating means including at least one rotatable gear mechanism; and

e) latch means associated with said elongated housing for receiving and retaining said at least one curved needle.

15. A surgical instrument for applying sutures through body tissue according to claim 14 wherein said latch means is disposed at a fixed distance with respect to said distal end of said elongated housing.

16. A surgical instrument for applying sutures through body tissue according to claim 14, wherein said actuating means further includes an elongated actuator rod operatively associated with said at least one needle carrier, such that said elongated actuator rod is operable from said proximal end of said elongated housing to control movement of said at least one needle carrier.

17. A surgical instrument for applying sutures through body tissue according to claim 16, wherein said elongated actuator rod is slidably disposed within said elongated housing.

18. A surgical instrument for applying sutures through body tissue according to claim 14 wherein said needle carrier means are rotatably disposed within said elongated housing.

19. A surgical instrument for applying sutures through body tissue according to claim 14 wherein said needle carrier means include at least one arm member adapted for holding said at least one curved needle.

20. A surgical instrument for applying sutures through body tissue according to claim 19 wherein said arm member is adapted for releasably holding said at least one curved needle.

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

a) an elongated fixed housing having a proximal end and a distal end;

b) at least one curved needle;

c) rotatable means associated with said elongated housing, for carrying and deploying said at least one curved needle, said carrying and deploying means including at least one needle carrier associated with said distal end of said elongated housing for carrying said at least one curved needle therein, said at least one needle carrier being rotatable between a retracted position and an extended position; and

d) means positioned within said elongated housing for receiving and retaining said at least one curved needle, said receiving and retaining means being replaceably mounted on said elongated fixed housing such that said surgical instrument may be re-used upon insertion of an unused replacement receiving and retaining means.

22. A surgical instrument for applying sutures through body tissue according to claim 21 wherein said receiving and retaining means is disposed at a fixed distance with respect to said distal end of said elongated fixed housing.

23. A surgical instrument for applying sutures through body tissue according to claim 22, wherein said carrying and deploying means further includes an elongated actuator rod operatively associated with said at least one needle carrier, such that said elongated actuator rod is operable from said proximal end of said elongated fixed housing to control movement of said at least one needle carrier.

24. A surgical instrument for applying sutures through body tissue according to claim 23, wherein said elongated actuator rod is slidably disposed within said elongated fixed housing.

25. A surgical instrument for applying sutures through body tissue according to claim 22, wherein said at least one needle carrier is rotatably disposed within said elongated fixed housing.

26. A surgical instrument for applying sutures through body tissue according to claim 22 wherein said at least one needle carrier includes at least one arm member for holding said at least one curved needle.

27. A surgical instrument for applying sutures through body tissue according to claim 26 wherein said arm member releasably holds said at least one curved needle.

28. A surgical instrument for applying sutures through body tissue according to claim 22 wherein said receiving and retaining means includes a compliant material such that said at least one curved needle becomes retained within said compliant material upon travel of said at least one curved needle through a tissue engaging path.

29. A surgical instrument for applying sutures comprising:

a) an elongated housing having a proximal end and a distal end;

b) means rotatably associated with said elongated housing for carrying and deploying at least one needle, said needle carrying and deploying means being movable between a retracted position and an extended position; and

c) resilient retaining means associated with said elongated housing for receiving and retaining said at least one needle; and

d) an actuator member operatively associated with said carrying and deploying means such that said actuator member is operable from said proximal end of said elongated housing to move said needle carrying and deploying means, said actuator member being rotatably mounted within said elongated housing and operable between a first position and a second position to respectively retract and extend said needle carrying and deploying means, said surgical instrument further comprising a lock-out mechanism for releasably retaining said actuator member at each of said first and second positions.