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EP0478358A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Suture guides

Assignee: Cook Urological Inc
•
Filing: 1991-09-27
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Granted: —
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Expires: 2011-09-27
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Abstract

Abstract A suture guide (100) and, in particular, a urethral sound having interchangeable tips (102-106) for placing sutures (160-164) in the severed end (156) of a body duct (155). The urethral sound (100) includes an attachment mechanism (107) having interconnection parts (108-113) longitudinally rotatable when interconnected. The sound (100) further includes an elongated member (101) having a distal end portion (117) including one (108) of the interconnection parts. A plurality of interchangeable tips (102-106) are provided each having a rounded distal end (129, 134, 149, 150, 138) and a proximal end including the second interconnection part (109-113). Interchangeable tips (102-106) are positioned at the distal portion (117) of the elongated member (101) and are longitudinally rotated thereat. Various tips (103, 104, 106) include one or more apertures (137, 140, 141, 147) for placing sutures (160-164) through, for example, a severed urethral stump (155) created during a radical prostatectomy. Channels (148, 154) are also placed in a number of the tips (104, 105) to provide placement of individual sutures (160-164) about the distal end (156) of the severed stump (155) as desired by the physician. The method includes positioning the urethral sound tip (102-106) out the distal end (156) of the duct (155) with an aperture (137, 140, 141, 147) in the tip (102-106) partially protruding from the duct (155). A suture thread (158) is passed through the aperture (137, 140, 141, 147) and cut to form two equal length suture pieces (160) on the opposite sides of the duct (155). The urethral sound tip (102-106) is rotated to further position additional suture pieces (161, 163, 164) about the severed end (156) of the duct (155). The pieces (160, 161, 163, 164) are formed by cutting the suture extending through the aperture (137, 140, 141, 147) at the mid-point thereof.

Inventors

  • 👤 Thomas Lee Foster
  • 👤 James E. Gottesman

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 07:00
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0482; A61B17/11; A61B2017/0046; A61B2017/00473; A61B17/28; A61B17/29; A61B2017/2926; A61B2017/2931

Claims Analysis

Total Claims: 11
Claim 1
Independent Claim 85 words
A urethral suture guide comprising an elongated member (101) with a substantially straight major portion (115) and with a distal end (117) to which an interchangeable tip (FIGs.3 to 7) is to be mounted, characterised by an attachment mechanism (107) with a first interconnection part (108) included in the said distal end and with a second interconnection part (112) at the proximal end of the interchangeable tip, the interconnection parts being formed to cooperate so that the tip is mountable in a freely rotatable manner.
Claim 2
Dependent Claim 79 words
A urethral suture guide comprising: an attachment mechanism (107) having first (109) and second (108) interconnection parts freely longitudinally rotatable when interconnected; an elongated member (101) having a substantially straight portion (115), a distal end portion (117) and a curved or inclined portion (116) positioned between said straight and distal end portions, said distal end portion including said second interconnection part; and an interchangeable tip (102) having a distal end and a proximal end including said first interconnection part.
Claim 3
Dependent Claim 43 words
The guide of claim 1 or 2, characterised in that said tip includes a longitudinally extending cylindrical body (106) without or with at least one aperture (141,142) extending laterally therethrough, or includes a tapered body (105) with a channel (154) extending longitudinally therealong.
Claim 4
Dependent Claim 43 words
The guide of claim 1 or 2, characterised in that one interconnection part includes a receptacle (108) and the other includes a projection (113), said receptacle and said projection being interconnected and longitudinally rotatable when said projection is selectively positioned in said receptacle.
Claim 5
Dependent Claim 83 words
The guide of claim 4, characterised in that said projection includes a neck (132) and a head (133) extending longitudinally from and wider than said neck and wherein said receptacle includes a chamber (128) larger than said head and a collar (125) having a passageway larger than said neck and communicating with said chamber, said neck having a length longer than said passageway of said collar, said head being shaped for selective passage through said passageway of said collar and into said chamber.
Claim 6
Dependent Claim 34 words
The guide of claim 5, characterised in that said collar has a plurality of internal threads in said passageway, and in that said head has a plurality of external threads matching said internal threads.
Claim 7
Dependent Claim 60 words
The guide of claim 1 or 2, characterised in that said tip includes an elongated body having a longitudinally extending semi-cylindrical portion (146), said semi-cylindrical portion being without or with an aperture (147) extending laterally therethrough, and without or with a channel (148) having a semi-cylindrical surface extending longitudinally and proximally from said distal end and communicating with said aperture.
Claim 8
Dependent Claim 19 words
The guide of claim 3, characterised in that a second aperture, when formed, communicates with the first mentioned aperture.
Claim 9
Dependent Claim 77 words
An interchangeable tip (FIGs.3 to 7) for connection to the distal end (117) of a urethral suture guide (100) via an attachment mechanism (107) forming parts of the guide and the tip, characterised in that the attachment mechanism comprises a receptacle (108) and a projection (113) which are so arranged that when they are interconnected, they serve to lock the projection within the receptacle, and to permit the tip to freely rotate with respect to the guide.
Claim 10
Independent Claim 181 words
A method of placing sutures about a severed end of tubular body duct by using a suture guide characterised by an elongated cylindrical member having a substantially straight portion and a distal end portion including a second interconnection part; and an interchangeable tip having a distal end, a proximal end including a first interconnection part longitudinally and rotatably interconnected with said second interconnection part, and a cylindrical body extending longitudinally between said ends and having an aperture extending laterally therethrough; said method characterised by positioning said suture guide into said duct with said distal end of said tip protruding and said aperture partially protruding from said severed end of said duct; placing a needle with a suture attached thereto through one side of said duct about said severed end, said aperture, and out the opposite side of said duct; pushing said tip and said aperture with said suture extending therethrough out of said severed end of said duct; and cutting said suture extending through said aperture to form two suture pieces on opposite sides of said duct about said severed end.
Claim 11
Dependent Claim 118 words
The method of claim 10, further characterised by rotating said interchangeable tip by at least one step of a predetermined angle and positioning said suture guide with said aperture partially protruding from said severed end of said duct, and placing a needle with another suture through one side of said duct about said severed end, said aperture, and out the opposite side of said duct for each step; pushing said tip and said aperture with said other suture placed therethrough out of said severed end of said duct for each step and cutting said other suture extending through said aperture for each step to form additional suture pieces on opposite sides of said duct about said severed end.

References Cited (Backward Citations)

US2897820A Cited
FR1539593A Cited
GB2064332A Cited
DE3504202A1 Cited
US4651733A Cited
US4784139A Cited
US4911164A Cited

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