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EP0315371A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

A suturing instrument for use in arthroscopic surgery

Assignee: Linvatec Corp
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Filing: 1988-10-27
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Granted: —
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Expires: 2008-10-27
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Abstract

Abstract A suturing instrument (20) for use in arthroscopic surgery includes a hollow needle (56) for penetrating tissue to be sutured within the body while the tissue is clamped between relatively movable jaws (34, 44), and a suture feed mechanism (68) for feeding suture material (90) through the hollow needle such that the jaws (34,44) can be opened and the suturing instrument withdrawn from the body pulling the free end segment of the suture material (90) with the instrument. A knot can be tied in the suture material (90) externally of the body and the knot moved back into the body at a position adjacent the tissue.

Inventors

  • 👤 Richard B. Caspari
  • 👤 Arthur Frank Trott
  • 👤 Barry F. Bays

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-22 23:00
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0469

Claims Analysis

Total Claims: 15
Claim 1
Independent Claim 298 words
A suturing instrument for use in arthroscopic surgery characterised by including, a stationary member including an elongated tube (36) having a proximal end and a distal end and a stationary handle member (24) extending from said proximal end of said tube (36) and grippable by a user, a movable handle member (26) mounted on said stationary member and grippable by a user so as to moved towards and away from said stationary handle member (24), jaw means (34, 44) disposed at said distal end of said tube (36) for clamping and penetrating tissue to be sutured including a first jaw (34) having a hollow needle (56) extending therefrom, a second jaw (44) having an opening (65) therein, and means mounting said first and second jaw (34, 44) to permit relative movement of said jaws (34, 44) towards and away from each other to define closed and open positions, respectively, said needle (56) extending into said opening (65) in said second jaw (44) when said jaw means is in said closed position, connector means connecting said movable handle member (26) with said jaw means (34, 44) to cause relative movement of said first and second jaws (34, 44) as said movable member (26) is moved towards and away from said stationary handle member (24),and suture material feeding means for feeding suture material (90) along said tube (36) to said needle (56) and, with said jaw means (34, 44) in said closed position, through said needle (56) and said opening (65) in said second jaw (44) whereby suture material can be passed through tissue to be sutured when said jaw means in in said closed position, and, thereafter, when said jaw means is in said open position, the suture material can be drawn away from the tissue to be sutured.
Claim 2
Dependent Claim 298 words
A suturing instrument for use in arthroscopic surgery characterised by including, a stationary member including an elongated tube (36) having a proximal end and a distal end and a stationary handle member (24) extending from said proximal end of said tube (36) and grippable by a user, a movable handle member (26) mounted on said stationary member and grippable by a user so as to moved towards and away from said stationary handle member (24), jaw means (34, 44) disposed at said distal end of said tube (36) for clamping and penetrating tissue to be sutured including a first jaw (34) having a hollow needle (56) extending therefrom, a second jaw (44) having an opening (65) therein, and means mounting said first and second jaw (34, 44) to permit relative movement of said jaws (34, 44) towards and away from each other to define closed and open positions, respectively, said needle (56) extending into said opening (65) in said second jaw (44) when said jaw means is in said closed position, connector means connecting said movable handle member (26) with said jaw means (34, 44) to cause relative movement of said first and second jaws (34, 44) as said movable member (26) is moved towards and away from said stationary handle member (24),and suture material feeding means for feeding suture material (90) along said tube (36) to said needle (56) and, with said jaw means (34, 44) in said closed position, through said needle (56) and said opening (65) in said second jaw (44) whereby suture material can be passed through tissue to be sutured when said jaw means in in said closed position, and, thereafter, when said jaw means is in said open position, the suture material can be drawn away from the tissue to be sutured.
Claim 3
Dependent Claim 82 words
A suturing instrument as claimed in Claim 1, wherein said suture material feeding means (68) includes a roller feed mechanism (80, 84) mounted on said stationary member having an inlet for receiving suture material, an outlet (100) for exit of suture material and roller means (80,84) rotatable to feed suture material from said inlet to said outlet, and tubing means (104) connected with said outlet (100) of said roller feed mechanism and said hollow needle (56) for passage therethrough of suture material.
Claim 4
Dependent Claim 62 words
A suturing instrument as claimed in Claim 2, wherein said roller means (80,84) includes a drive roller (80) having peripheral surface and an idler roller (84) having a peripheral surface adjacent said peripheral surface of said drive roller (80), suture material passing between said drive and idler rollers to be engaged and driven by said peripheral surface of said drive roller (80).
Claim 5
Dependent Claim 28 words
A suturing instrument as claimed in Claim 3, wherein said drive roller (80) has a ring (88) of silicone rubber around said peripheral surface to engage suture material.
Claim 6
Dependent Claim 25 words
A suturing instrument as claimed in Claim 4, wherein said idler roller (84) has a groove (92) in said peripheral surface to receive suture material.
Claim 7
Dependent Claim 68 words
A suturing instrument as claimed in Claim 1, wherein said first jaw (34) extends from said distal end of said tube (36) and has a tissue engaging surface, said second jaw (44) has a tissue engaging surface facing said tissue engaging surface of said first jaw (34), and said mounting means includes means for mounting said second jaw (44) for pivotal movement relative to said first jaw (34).
Claim 8
Dependent Claim 42 words
A suturing instrument as claimed in Claim 6, wherein said opening (65) in said second jaw (44) is an aperture having an edge for engaging suture material passing therethrough when said suturing instrument is move away from the tissue to be sutured.
Claim 9
Dependent Claim 72 words
A suturing instrument as claimed in Claim 1, wherein said stationary member includes a hub (30) disposed between said proximal end of said tube (36) and said stationary handle member (24), said movable handle member (26) is pivotally mounted on said stationary member at said hub (30), and, said movable and stationary handle members (26, 24) extend from said hub (30) substantially at angles to the longitudinal axis of said tube (36).
Claim 10
Dependent Claim 103 words
A suturing instrument as claimed in Claim 1, wherein said suture material feeding means (68) includes a rollerfeed mechanism (80, 84) mounted on said stationary handle member and having a drive roller (80) and an idler roller (84) for feeding suture material, a hub (30) has an opening therein, and a length of metal tubing (104) extends from said hub opening through said elongated tube (36) and is curved at said first jaw (34) to terminate at a beveled end defining a tip for said hollow needle (56) to supply suture material fed by said roller feed mechanism to said hollow needle (56).
Claim 11
Dependent Claim 152 words
A suturing instrument for use in surgery characterised by including, a member including an elongated tube (36) having a proximal end and a distal end and a handle member (24) extending from said proximal end of said tube (36) and grippable by a user, a hollow needle (56) extending from said distal end of said member for penetrating tissue to be sutured, and suture material feeding means (68) for feeding suture material along said tube (36) and through said needle (56) whereby suture material can be passed through tissue to be sutured, said suture material feeding means including a roller feed mechanism (80, 84) mounted on said member having inlet means for receiving suture material, outlet means (100) for supplying suture material to said tube and roller means (80,84) rotatable to feed suture material from said inlet means through said outlet means (100) and said tube hollw needle (56) for passage therethrough.
Claim 12
Dependent Claim 152 words
A suturing instrument for use in surgery characterised by including, a member including an elongated tube (36) having a proximal end and a distal end and a handle member (24) extending from said proximal end of said tube (36) and grippable by a user, a hollow needle (56) extending from said distal end of said member for penetrating tissue to be sutured, and suture material feeding means (68) for feeding suture material along said tube (36) and through said needle (56) whereby suture material can be passed through tissue to be sutured, said suture material feeding means including a roller feed mechanism (80, 84) mounted on said member having inlet means for receiving suture material, outlet means (100) for supplying suture material to said tube and roller means (80,84) rotatable to feed suture material from said inlet means through said outlet means (100) and said tube hollw needle (56) for passage therethrough.
Claim 13
Dependent Claim 36 words
A suturing instrument as claimed in Claim 10, including tubing means (104) disposed within said elongate tube (36) and connected with said outlet means (100) and said hollow needle (6) for passage therethrough of suture material.
Claim 14
Dependent Claim 63 words
A suturing instrument as claimed in Claim 10, wherein said roller means includes a drive roller (80) having a peripheral surface and an idler roller (84) having a peripheral surface adjacent said peripheral surface of said drive roller (80), suture material passing between said drive and idler rollers (80,84) to be engaged and driven by said peripheral surface of said drive roller (80).
Claim 15
Dependent Claim 45 words
A suturing instrument as claimed in Claim 12, wherein said drive roller (80) has a ring (88) of silicone rubber around said peripheral surface to engage suture material and said idler roller (84) has a groove (92) in said peripheral surface to receive suture material.

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