CA2466046A1 - Cycling suturing and knot-tying device - Google Patents

Cycling suturing and knot-tying device Download PDF

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Publication number
CA2466046A1
CA2466046A1 CA002466046A CA2466046A CA2466046A1 CA 2466046 A1 CA2466046 A1 CA 2466046A1 CA 002466046 A CA002466046 A CA 002466046A CA 2466046 A CA2466046 A CA 2466046A CA 2466046 A1 CA2466046 A1 CA 2466046A1
Authority
CA
Canada
Prior art keywords
needle
suturing device
groove
arcuate
disposed
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002466046A
Other languages
French (fr)
Other versions
CA2466046C (en
Inventor
George H. Gibbens, Iii
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gibbens Group LLC
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2466046A1 publication Critical patent/CA2466046A1/en
Application granted granted Critical
Publication of CA2466046C publication Critical patent/CA2466046C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06047—Means for attaching suture to needle located at the middle of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0609—Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft

Abstract

A cycling suturing and knot-tying device (1) is characterized by an arcuate fixed, grooved or recessed way (102) providing in a correspondingly-shaped support frame (775) for accomodating a curved needle (50) fitted with thread , and frictional needle-engaging devices (112) provided in the way (102) for selectively engaging the needle (50) and driving the needle (50) in one or both rotational directions to suture a wound with the thread. A pistol-grip operating apparatus (1267) having a transmission tube (1200) that mounts the frame (775) and the way (102) in articulating relationship and rotates and articulates with respect to the pistol grip (1267) carries various operating elements that inerface with the frictional needle-engaging devices (112) in the way. In at least one embodiment, needle direction-adjusting elements (13 4, 136) are provided in the frame (775) in cooperation with selected devices in the way (102) for determining the direction of needle rotation. Auxiliary thread-handling or incrementing and knot-tying devices (1101, 1000) are also disclosed.

Claims (21)

1.~ A suturing device comprising:
an arcuate frame having a groove, an arcuate needle slidably disposed within said groove such that the needle can selectively move within the groove, the arcuate needle having an exterior side and an interior side, an engaging means disposed within said frame adapted to engage the interior side of the arcuate needle; and a drive means disposed within the frame, the drive means coupled to the engaging means for selectively moving the needle around the groove and an end of the needle out of and into the groove.
2. ~The suturing device of claim 1 wherein the engaging means is also adapted to engage the exterior side of the arcuate needle.
3. ~A suturing device comprising:
an arcuate shaped frame having a groove, a semi-circular needle disposed within the groove, a first one-way engaging means disposed within the groove for selectively urging the needle to move in a first direction, and a drive means disposed within said groove, the drive means being coupled to the engaging means such the drive means selectively moves an end of the needle out and into the groove.
4. ~The suturing device of claim 3 further comprising a second one-way engaging means disposed within the groove for selectively urging the needle to move in a second direction.
5. ~The suturing device as claimed in any preceding claim further comprising a thread incrementing means coupled to one end of the arcuate frame for incrementing and controlling thread used during suturing.
6. The suturing device as claimed in any preceding claim further comprising a direction setting means for setting the rotational direction of the movement of the needle.
7. The suturing device of claim 6 wherein the direction setting means is disposed within the arcuate frame and the direction setting means comprises:
a fixed way means for supporting and aligning the needle, the fixed way means having a resistance means to prevent the needle from moving in a second direction, a movable driver means slidingly coupled to the fixed way means for urging the needle to move in a first direction, the movable driver means having a resistance means for urging the needle to move in a first direction, and a direction actuator for controlling the movable driver.
8. The suturing device as claimed in any preceding claim further comprising a drive circuit means for driving the driving means.
9. The suturing device of claim 8 wherein the drive circuit means comprises:
at least one tensioning means coupled to the driver means for pulling on the driver, at least one pulley means coupled to the tensioning means for keeping the tensioning means taught, and at least one advancing means coupled to the tensioning means for selectively pulling the tensioning means.
10. The suturing device of claim 9 wherein the at least one advancing means comprises:
a wheel having a plurality of bosses disposed around its circumferential edge, and a triggering means for advancing the bosses around the wheel such that the advancement of the bosses around the wheel causes the tensioning means to pull the driver.
11. The suturing device as claimed in any preceding claim further comprising an articulation means for positioning the arcuate frame.
12. The suturing device of claim 11 wherein the articulation means is selected from the group consisting of a ball and socket joint, a segmented neck, or a universal joint hinge.
13. The suturing device of claim 11 further comprising an articulation control means for adjusting the articulation means.
14. The suturing device of claim 13 wherein the articulation control means further comprises:
a tensioning means coupled to the arcuate frame, and a ball means coupled to the tensioning means such that when the ball means is rotated the tensioning means pulls on the arcuate frame to adjust the position of the arcuate fame.
15. The suturing device as claimed in any preceding claim further comprising a thread pulling means for pulling the thread during suturing.
16. The suturing device as claimed in any preceding claim further comprising a tubular means for housing the drive circuit means.
17. The suturing device of claim 16 further comprising a handling means coupled to the tubular means for positioning the suturing device.
18. The suturing device of any of the above claims, wherein the engaging means comprises:
a blade means disposed on an exterior side of the needle, an opposing blade means disposed on an interior side of the needle, such that when the engaging means engages the needle, an edge of the blade means engages the exterior side of the needle, and an edge of the opposing blade means engages the interior side of the needle.
19. The suturing device of claim 18, further comprising a means to selectively bend at least one of the blade means and the opposing blade means, causing the selected at least one of the blade means and opposing blade means to engage the needle.
20. A suturing device as claimed in any preceding claim which is made from metal, plastic, or from a combination of these materials.
21. A suturing device as substantially claimed herein described above and illustrated in the accompanying drawings.
CA2466046A 2001-10-04 2002-10-03 Cycling suturing and knot-tying device Expired - Fee Related CA2466046C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US32770401P 2001-10-04 2001-10-04
US60/327,704 2001-10-04
PCT/US2002/031764 WO2003028544A2 (en) 2001-10-04 2002-10-03 Cycling suturing and knot-tying device

Publications (2)

Publication Number Publication Date
CA2466046A1 true CA2466046A1 (en) 2003-10-04
CA2466046C CA2466046C (en) 2010-02-23

Family

ID=23277675

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2466046A Expired - Fee Related CA2466046C (en) 2001-10-04 2002-10-03 Cycling suturing and knot-tying device
CA002461880A Abandoned CA2461880A1 (en) 2001-10-04 2002-10-03 Apparatus and method for thread advancing

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA002461880A Abandoned CA2461880A1 (en) 2001-10-04 2002-10-03 Apparatus and method for thread advancing

Country Status (11)

Country Link
US (1) US7004951B2 (en)
EP (2) EP1450695A4 (en)
JP (2) JP4295619B2 (en)
CN (2) CN1267059C (en)
AT (1) ATE449559T1 (en)
AU (2) AU2002348495A1 (en)
CA (2) CA2466046C (en)
DE (1) DE60234532D1 (en)
HK (2) HK1074759A1 (en)
TW (1) TW550063B (en)
WO (2) WO2003028541A2 (en)

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CN1582130A (en) 2005-02-16
EP1448088A4 (en) 2008-11-12
EP1450695A2 (en) 2004-09-01
JP4295619B2 (en) 2009-07-15
AU2002335791A1 (en) 2003-04-14
CA2461880A1 (en) 2003-04-10
CN1582131A (en) 2005-02-16
US7004951B2 (en) 2006-02-28
WO2003028541A9 (en) 2004-05-21
AU2002348495A1 (en) 2003-04-14
CN1267059C (en) 2006-08-02
WO2003028544A2 (en) 2003-04-10
TW550063B (en) 2003-09-01
US20030083674A1 (en) 2003-05-01
CA2466046C (en) 2010-02-23
DE60234532D1 (en) 2010-01-07
WO2003028541A2 (en) 2003-04-10
JP2005504575A (en) 2005-02-17
EP1450695A4 (en) 2008-11-12
HK1074759A1 (en) 2005-11-25
EP1448088B1 (en) 2009-11-25
HK1074761A1 (en) 2005-11-25
JP2005504574A (en) 2005-02-17
WO2003028541A3 (en) 2003-12-11
EP1448088A2 (en) 2004-08-25
CN1310620C (en) 2007-04-18
ATE449559T1 (en) 2009-12-15

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