Methods, systems, and devices for surgical suturing

Patent metadata

Field	Value
Publication number	US-10080562-B2
Application number	US-201514820067-A
Country	US
Kind code	B2
Filing date	Aug 6, 2015
Priority date	Aug 6, 2015
Publication date	Sep 25, 2018
Grant date	Sep 25, 2018

Abstract

Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body.

First claim

What is claimed is:

1. A surgical system, comprising:
a surgical instrument including at a distal end thereof first and second jaws configured to grasp tissue therebetween, the surgical instrument being configured to pass a suture through tissue;
a plate configured to facilitate manipulation of the suture; and
a loading element including an outer housing and an inner housing that is configured to be seated at least partially within the outer housing, at least one of the inner and outer housings being movable relative to the other, the inner housing being configured to removably and replaceably seat the plate in a loading configuration, and the inner housing being configured to receive at least a portion of the first jaw therein;
wherein when the inner housing is seated at least partially within the outer housing, the plate is seated in the inner housing, and at least the portion of the first jaw is received in the inner housing, movement of the outer housing relative to the inner housing is configured to cause the plate to move into the first jaw in a loaded configuration;
wherein the inner housing has a bore formed therein that is configured to receive the portion of the first jaw therein; and
the outer housing has an internal protrusion that extends into an internal cavity of the outer housing, the internal protrusion being configured to push the plate into the bore to cause the plate to move into the first jaw in the loaded configuration.

2. The system of claim 1 , wherein the first and second jaws are configured to move between open and closed positions.

3. The system of claim 2 , wherein the pair of jaws in the closed position define a first longitudinal axis;
the bore formed in a proximal end of the inner housing is configured to receive the portion of the first jaw therein;
the bore of the inner housing defines a second longitudinal axis; and
the distal end of the surgical instrument is configured to be inserted into the bore with the first and second longitudinal axes being substantially parallel to one another.

4. The system of claim 1 , wherein the surgical instrument includes an elongate shaft having the first and second jaws at a distal end thereof, the elongate shaft defining a first longitudinal axis; and
the bore of the inner housing defines a second longitudinal axis, the bore being configured to receive at least the portion of the first jaw therein with the first and second longitudinal axes being substantially parallel to one another.

5. The system of claim 1 , wherein the inner housing has a single position relative to the outer housing in which the inner housing is configured to be seated at least partially within the outer housing.

6. The system of claim 1 , wherein the inner and outer housings have corresponding engagement members configured to orient the inner and outer housings relative to one another in a predetermined orientation.

7. The system of claim 6 , wherein the engagement member of one of the inner and outer housings includes a slot, and the engagement member of the other of the inner and outer housings includes a protrusion configured to slide within the slot during the at least partial seating of the inner housing within the outer housing.

8. The system of claim 1 , wherein the inner housing has a slot formed in an external surface thereof, the slot having an open proximal end and a closed distal end.

9. The system of claim 1 , wherein the inner housing includes a stop element configured to stop movement of the inner housing in a distal direction within the outer housing once the inner housing has advanced a predetermined amount into the outer housing.

10. The system of claim 1 , wherein in response to the plate being fully moved into the first jaw, at least one of the inner and outer housings is configured to generate at least one of an audible confirmation and a tactile confirmation of the plate being in the loaded configuration.

11. The system of claim 1 , wherein the distal end of the surgical instrument is configured to be inserted into the bore formed in the inner housing, and the inner and outer housings are configured to cause the plate to move into the first jaw within the bore.

12. The system of claim 11 , wherein the distal end of the surgical instrument is configured to be inserted into the bore of the inner housing in a single predetermined orientation relative to the inner housing.

13. A surgical system, comprising:
a surgical instrument including at a distal end thereof first and second jaws configured to grasp tissue therebetween, the surgical instrument being configured to pass a suture through tissue;
a plate configured to facilitate manipulation of the suture; and
a loading element including an outer housing and an inner housing that is configured to be seated at least partially within the outer housing, at least one of the inner and outer housings being movable relative to the other, the inner housing being configured to removably and replaceably seat the plate in a loading configuration, and the inner housing being configured to receive at least a portion of the first jaw therein;
wherein when the inner housing is seated at least partially within the outer housing, the plate is seated in the inner housing, and at least the portion of the first jaw is received in the inner housing, movement of the outer housing relative to the inner housing is configured to cause the plate to move into the first jaw in a loaded configuration;
wherein the inner housing has one or more ribs formed on a top surface thereof;
wherein a distal end of the inner housing is configured to be inserted through an opening of the outer housing to be seated at least partially within the outer housing; and
the one or more ribs are configured to at least one of prevent the inner housing from backing out of the outer housing in a proximal direction until a predetermined amount of force is applied to at least one of the inner and outer housings, and limit movement of the inner housing in the proximal direction relative to the outer housing and in a distal direction relative to the outer housing until a predetermined amount of force is applied to at least one of the inner and outer housings.

Assignees

• Depuy Synthes Products Inc

Inventors

• Otrando Brian
• Zylka Kevin
• Bellas Jonathan
• Spivey James T
• Colby Peter

Classifications

• A61B2090/0808

  for indicating correct assembly of components, e.g. of the surgical apparatus · CPC title

• A61B50/30

  Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments (for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40) · CPC title

• A61B2017/06095

  pliable · CPC title

• A61B17/0483 Primary

  Hand-held instruments for holding sutures (A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30) · CPC title

• A61B17/0491 Primary

  Sewing machines for surgery · CPC title