Wound closure assembly and method of use

• US 5,972,005 A
• Filed: 02/17/1998
• Issued: 10/26/1999
• Est. Priority Date: 02/17/1998
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Stalker, Kent C.B., Wilson, Bruce M.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): HO, TAN-UYEN THI
• Application Number:
  US09/024,326
• Time in Patent Office: 616 Days
• Field of Search: 606/213, 606/223, 606/224, 606/222, 606/225, 606/139, 606/145, 606/144, 606/148
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• 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 2017/0472 Multiple-needled, e.g. double-needled, instruments

Abstract

A wound suturing assembly and method of use employing elastically precurved suture needles for piercing a patient'"'"'s tissue to suture closed a wound. The needles are ejected out of the assembly and whereupon they assume a pre-curved shape and in the process curve back to pierce the tissue a second time prior to reentering the assembly. Each needle carries a length of suture through the wound so that the sutures can be tied and the wound tightly sealed.

Claims

1. A suturing assembly, comprising:

an elongated guide body having a central axis and a distal end, the guide body being formed with at least one pair of axially parallel, laterally opposed first bores and second bores extending from the distal end through at least a portion of the body;

a tip attached to the distal end of the body and formed at least in part with a semi-spherical configuration;

a pair of resilient, elastically precurved needles removably positioned one each in the respective first bores, the needles having a proximal end for securing suture thereto and a pointed distal end for penetrating body tissue;

an ejector arm slidably positioned above the proximal end of each needle to eject the needle out of the distal end of the guide body; and

a pair of needle receivers retractably positioned one each in the respective second bores to grasp the needles ejected from the corresponding first bores.

2. The suturing assembly of claim 1, wherein the tip is formed with needle channels for receiving and guiding each needle from the respective first bores to the corresponding second bores.

3. The suturing assembly of claim 2, wherein the needle channels extend through the tip and include suture escape slots on a surface of the tip.

4. The suturing assembly of claim 1, wherein the needles maintain a first, linear configuration when positioned within the first bores and assume a second, curved configuration substantially conforming to the surface of the tip when ejected from the bores.

5. The suturing assembly of claim 4, wherein the needles assume the curved configuration isothermally.

6. The suturing assembly of claim 4, wherein the needles are formed from a material exhibiting shape memory properties.

7. The suturing assembly of claim 6, further comprising a cooling mechanism for varying the temperature of the needles to cause them to assume the desired configuration.

8. The suturing assembly of claim 6, further comprising a heating mechanism for varying the temperature of the needles to cause them to assume the desired configuration.

9. The suturing assembly of claim 8, wherein the heating mechanism operates to apply a predetermined electric current to the needles.

10. The suturing assembly of claim 1, further comprising a handle slidably mounted to the guide body to axially displace the ejector arms and the needle receivers within the respective first bores and second bores.

11. The suturing assembly of claim 10, wherein the handle is spring loaded to automatically retract the ejector arms and the needle receivers.

12. The suturing assembly of claim 1, wherein each needle receiver is formed from an elastically resilient material having two or more jaws biased in an open position, whereby the jaws are maintained in a closed configuration when positioned within the respective second bores and expand open when displaced out of the bore to receive therebetween the needle ejected from the corresponding first bore and clamp together to securely grasp the needle when retracted back into the second bore.

13. The suturing assembly of claim 12, wherein each respective second bore is further configured with an expansion chamber communicating with the distal end of the guide body to permit the needle receiver jaws to expand into the open configuration when the receiver is advanced into the chamber.

14. The suturing assembly of claim 13, wherein each needle is of sufficient length to extend from the distal end of the respective first bore to the expansion chamber of the corresponding second bore.

15. The suturing assembly of claim 12, wherein the needles further include at least one barb so that the receiver jaws can more firmly grip the needles.

16. The suturing assembly of claim 1, wherein the needle is further configured with a bore in its proximal end for securing suture therethrough.

17. The suturing assembly of claim 1, wherein the tip includes notches facing each bore to form a groove between the tip and the distal end of the guide body to receive and support the tissue therebetween as the tissue is punctured by the needles.

18. The suturing assembly of claim 1, wherein the ejector arms and needle receivers are displaced pneumatically within their respective bores.

19. The suturing assembly of claim 1, wherein the ejector arms and needle receivers are displaced hydraulically within their respective bores.

20. The suturing assembly of claim 1, wherein the ejector arms and needle receivers are displaced within their respective bores by at least one electric motor.