US5254126A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Endoscopic suture punch
Assignee: Ethicon Inc
•
Filing: 1992-06-24
•
Granted: 1993-10-19
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Expires: 2012-06-24
Abstract
Abstract An endoscopic suture punch for use in endosurgical procedures, especially an anti-reflux procedure. This suture punch has an elongate frame and a handle mounted to one end of the frame. A pair of opposed jaws having tissue punches is mounted to the other end of the frame. One jaw is rigidly mounted to the frame while the other jaw is movably mounted to the frame, although both jaws can be movably mounted. An actuation handle is mounted to the frame for actuating the jaws. The suture punch has a suture pathway through the frame, the punches and the jaws for receiving the suture. There is a suture drive mechanism mounted to the frame for moving the suture through the suture pathway. The endoscopic suture punch is used with an invaginator for performing an anti-reflux procedure. The endoscopic suture punch may typically be used for suturing and other endoscopic procedures.
Inventors
- 👤 Charles J. Filipi
- 👤 II William C. McJames
- 👤 John Mandara, Jr.
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 20:22
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0469; A61B17/28; A61B17/29; A61B17/2909; A61B17/11; A61B2017/1135; A61B17/2812; A61B17/2833; A61B2017/2837; A61B2017/2926; A61B2017/2946; A61B18/00; A61B2018/00315; A61B2018/00553; A61B90/00; A61B90/36; A61B90/37; A61B2090/373
Claims Analysis
Total Claims: 41
Claim 1
Independent Claim
186 words
An endoscopic suture punch, comprising: an elongate tubular frame; a handle mounted to an end of said frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable, and one jaw is stationary, said movable jaw being pivotally mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means mounted to at least one of said jaws for punching a pathway through tissue; a suture pathway means through said handle, frame, jaws and punch means for receiving a suture; wherein the suture pathway means comprises a first tubular member extending through the handle, frame, and a first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the other jaw said arcuate pathway connecting the first and second tubular members; and suture drive means mounted to said handle for moving a suture through the pathway means.
Claim 2
Dependent Claim
186 words
An endoscopic suture punch, comprising: an elongate tubular frame; a handle mounted to an end of said frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable, and one jaw is stationary, said movable jaw being pivotally mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means mounted to at least one of said jaws for punching a pathway through tissue; a suture pathway means through said handle, frame, jaws and punch means for receiving a suture; wherein the suture pathway means comprises a first tubular member extending through the handle, frame, and a first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the other jaw said arcuate pathway connecting the first and second tubular members; and suture drive means mounted to said handle for moving a suture through the pathway means.
Claim 3
Dependent Claim
24 words
The suture punch of claim 1 comprising an entrance port for the suture pathway in the handle and an exit port in the handle.
Claim 4
Dependent Claim
28 words
The suture punch of claim 1 wherein the suture punch comprises an entrance port for the suture pathway in the handle and an exit port in one jaw.
Claim 5
Dependent Claim
46 words
The suture punch of claim 1 wherein the suture drive means comprises a wheel having a rim and an axial shaft mounted to the center thereof, said wheel rotatably mounted to the handle for engaging a suture and pushing the suture through the suture pathway means.
Claim 6
Dependent Claim
47 words
The suture punch of claim 4 wherein the handle comprises an upper head having a cavity therein and a pair of upwardly extending tabs on either side of said cavity having slots, wherein the wheel is mounted in said cavity and shaft is mounted in said slots.
Claim 7
Dependent Claim
22 words
The suture punch of claim 5 further comprising biasing means for biasing the wheel upward in the slots of the tab members.
Claim 8
Dependent Claim
12 words
The suture punch of claim 1 wherein both jaws are movably mounted.
Claim 9
Dependent Claim
33 words
The suture punch of claim 1 additionally comprising a motor mounted to the handle; means for coupling the motor to the suture drive means; and actuation means for activating and deactivating the motor.
Claim 10
Dependent Claim
34 words
The suture punch of claim 1 wherein the punch means comprises sections of the tubular members extending upwardly from one jaw to form punches, said punches having sharpened piercing tips effective to pierce tissue.
Claim 11
Dependent Claim
241 words
A combination comprising an endoscopic suture punch and an invaginator for performing an anti-reflux procedure, wherein the invaginator comprises; an elongate member having a tapered, blunt distal end; tissue engaging means extending from said member and mounted to said member proximal to said distal end; and, actuating means for actuating said tissue engaging means; and, wherein said endoscopic suture punch comprises; an elongate tubular frame; a handle mounted to one end of said frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is moveable, and one jaw is stationary, said moveable jaw being pivotally mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means attached to at least one of said jaws for punching a pathway through tissue; a suture pathway means through said frame, handle, jaws and punch means for receiving a suture wherein the suture pathway comprises a first tubular member extending through the handle, frame, and a first jaw, a second tubular member extending through said first jaw, and an arcuate pathway in the other jaw, said arcuate pathway connecting the first and second tubular members; and, suture drive means mounted to the handle for moving a suture through the pathway means.
Claim 12
Dependent Claim
241 words
A combination comprising an endoscopic suture punch and an invaginator for performing an anti-reflux procedure, wherein the invaginator comprises; an elongate member having a tapered, blunt distal end; tissue engaging means extending from said member and mounted to said member proximal to said distal end; and, actuating means for actuating said tissue engaging means; and, wherein said endoscopic suture punch comprises; an elongate tubular frame; a handle mounted to one end of said frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is moveable, and one jaw is stationary, said moveable jaw being pivotally mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means attached to at least one of said jaws for punching a pathway through tissue; a suture pathway means through said frame, handle, jaws and punch means for receiving a suture wherein the suture pathway comprises a first tubular member extending through the handle, frame, and a first jaw, a second tubular member extending through said first jaw, and an arcuate pathway in the other jaw, said arcuate pathway connecting the first and second tubular members; and, suture drive means mounted to the handle for moving a suture through the pathway means.
Claim 13
Dependent Claim
24 words
The suture punch of claim 10 comprising an entrance port for the suture pathway in the handle and an exit port in the handle.
Claim 14
Dependent Claim
28 words
The suture punch of claim 10 wherein the suture punch comprises an entrance port for the suture pathway in the handle and an exit port in one jaw.
Claim 15
Dependent Claim
46 words
The suture punch of claim 10 wherein the suture drive means comprises a wheel having a rim and an axial shaft mounted to the center thereof, said wheel rotatably mounted to the handle for engaging a suture and pushing the suture through the suture pathway means.
Claim 16
Dependent Claim
47 words
The suture punch of claim 10 wherein the handle comprises an upper head having a cavity therein an a pair of upwardly extending tabs on either side of said cavity having slots wherein the wheel is mounted in said cavity and shaft is mounted in said slots.
Claim 17
Dependent Claim
22 words
The suture punch of claim 14 further comprising biasing means for biasing the wheel upward in the slots of the tab members.
Claim 18
Dependent Claim
12 words
The suture punch of claim 10 wherein both jaws are movably mounted.
Claim 19
Dependent Claim
33 words
The suture punch of claim 10 additionally comprising a motor mounted to the handle; means for coupling the motor to the suture drive means; and actuation means for activating and deactivating the motor.
Claim 20
Dependent Claim
34 words
The suture punch of claim 10 wherein the punch means comprises sections of the tubular members extending upwardly from one jaw to form punches, said punches having sharpened piercing tips effective to pierce tissue.
Claim 21
Independent Claim
362 words
A method of performing an anti-reflux procedure in a mammal, comprising: A) inserting an invaginator into the esophagus of the mammal wherein the invaginator comprises: an elongate member having a distal end; tissue engaging means extendable from said member and attached to said member proximal to said distal end; and, actuating means for actuating said tissue engaging means; actuating the actuating means to engage the distal end of the esophagus; B) displacing the invaginator and the tissue distally into the stomach to form an invaginated fold about the invaginator; C) inserting an endoscopic suture punch into the stomach proximal to the distal end of the invaginator, wherein the endoscopic suture punch comprises; an elongate tubular frame; a handle mounted to one end of frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable and one jaw is stationary, said movable jaw being pivotably mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means mounted to at least one jaw of punching a pathway through tissue; a suture pathway through said frame, handle, jaws and punch means for receiving a suture, wherein the suture pathway comprises a first tubular member extending through the handle, frame, and first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the outer jaw said arcuate pathway connecting the first and second tubular members; and, suture drive means mounted to said handle for moving a suture through the pathway means; D) suturing the invaginated fold by inserting the open jaws of punch about the invaginated fold; E) closing the jaws about the fold such that the punch means punch a pathway thorough the tissue of the fold; F) moving a suture through the suture punch pathway through the invaginated fold and out through the endoscopic suture punch by engaging the suture drive means; and, G) securing a knot in the suture about the invaginated fold.
Claim 22
Independent Claim
362 words
A method of performing an anti-reflux procedure in a mammal, comprising: A) inserting an invaginator into the esophagus of the mammal wherein the invaginator comprises: an elongate member having a distal end; tissue engaging means extendable from said member and attached to said member proximal to said distal end; and, actuating means for actuating said tissue engaging means; actuating the actuating means to engage the distal end of the esophagus; B) displacing the invaginator and the tissue distally into the stomach to form an invaginated fold about the invaginator; C) inserting an endoscopic suture punch into the stomach proximal to the distal end of the invaginator, wherein the endoscopic suture punch comprises; an elongate tubular frame; a handle mounted to one end of frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable and one jaw is stationary, said movable jaw being pivotably mounted; actuation means mounted to said frame for actuating at least one jaw wherein the actuation means comprises a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw on the other end; punch means mounted to at least one jaw of punching a pathway through tissue; a suture pathway through said frame, handle, jaws and punch means for receiving a suture, wherein the suture pathway comprises a first tubular member extending through the handle, frame, and first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the outer jaw said arcuate pathway connecting the first and second tubular members; and, suture drive means mounted to said handle for moving a suture through the pathway means; D) suturing the invaginated fold by inserting the open jaws of punch about the invaginated fold; E) closing the jaws about the fold such that the punch means punch a pathway thorough the tissue of the fold; F) moving a suture through the suture punch pathway through the invaginated fold and out through the endoscopic suture punch by engaging the suture drive means; and, G) securing a knot in the suture about the invaginated fold.
Claim 23
Dependent Claim
24 words
The suture punch of claim 19 comprising an entrance port for the suture pathway in the handle and an exit port in the handle.
Claim 24
Dependent Claim
28 words
The suture punch of claim 19 wherein the suture punch comprises an entrance port for the suture pathway in the handle and an exit port in one jaw.
Claim 25
Dependent Claim
46 words
The suture punch of claim 29 wherein the suture drive means comprises a wheel having a rim and an axial shaft mounted to the center thereof, said wheel rotatably mounted to the handle for engaging a suture and pushing the suture through the suture pathway means.
Claim 26
Dependent Claim
47 words
The suture punch of claim 19 wherein the handle comprises an upper head having a cavity therein and a pair of upwardly extending tabs on either side of said cavity having slots wherein the wheel is mounted in said cavity and shaft is mounted in said slots.
Claim 27
Dependent Claim
22 words
The suture punch of claim 23 further comprising biasing means for biasing the wheel upward in the slots of the tab members.
Claim 28
Dependent Claim
12 words
The suture punch of claim 19 wherein both jaws are movably mounted.
Claim 29
Dependent Claim
33 words
The suture punch of claim 19 further comprising a motor mounted to the handle; means for coupling the motor to the suture drive means; and actuation means for activating and deactivating the motor.
Claim 30
Dependent Claim
34 words
The suture punch of claim 19 wherein the punch means comprises sections of the tubular members extending upwardly form one jaw to form punches, aid punches having sharpened piercing tips effective to pierce tissue.
Claim 31
Independent Claim
270 words
A method of endoscopic suturing comprising: A) inserting an endoscopic suture punch into a body cavity though a trocar cannula, wherein the endoscopic suture punch comprises: an elongate tubular frame; a handle mounted to one end of frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable and one jaw is stationary, said movable jaw being pivotally mounted; actuation means attached to said frame for actuating at least one jaw, wherein the actuation means comprise a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw to the other end; punch means mounted to at least one jaw for punching a pathway through tissue; a suture pathway through said frame, handle, jaws and punch means for receiving a suture, wherein the suture pathway comprises a first tubular member extending through the handle, frame, and first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the other jaw, said arcuate pathway connecting the first and second tubular members suture drive means mounted to said handle for moving a suture through the pathway means; B) opening the jaws of the punch; C) placing the open jaws of punch about tissue; D) closing the jaws about the tissue such that the punch means pierce a pathway thorough the tissue; E) moving a suture through the suture punch pathway through the tissue and out through the endoscopic suture punch by engaging the suture drive means; and, F) securing a knot in the suture about the tissue.
Claim 32
Independent Claim
270 words
A method of endoscopic suturing comprising: A) inserting an endoscopic suture punch into a body cavity though a trocar cannula, wherein the endoscopic suture punch comprises: an elongate tubular frame; a handle mounted to one end of frame; a pair of jaws mounted to the other end of said frame, wherein one jaw is movable and one jaw is stationary, said movable jaw being pivotally mounted; actuation means attached to said frame for actuating at least one jaw, wherein the actuation means comprise a lever pivotally mounted in the handle and an actuation rod pivotally connected to the lever on one end and to at least one jaw to the other end; punch means mounted to at least one jaw for punching a pathway through tissue; a suture pathway through said frame, handle, jaws and punch means for receiving a suture, wherein the suture pathway comprises a first tubular member extending through the handle, frame, and first jaw, a second tubular member extending through said first jaw and an arcuate pathway in the other jaw, said arcuate pathway connecting the first and second tubular members suture drive means mounted to said handle for moving a suture through the pathway means; B) opening the jaws of the punch; C) placing the open jaws of punch about tissue; D) closing the jaws about the tissue such that the punch means pierce a pathway thorough the tissue; E) moving a suture through the suture punch pathway through the tissue and out through the endoscopic suture punch by engaging the suture drive means; and, F) securing a knot in the suture about the tissue.
Claim 33
Dependent Claim
24 words
The suture punch of claim 28 comprising an entrance port for the suture pathway in the handle and an exit part in the handle.
Claim 34
Dependent Claim
28 words
The suture punch of claim 28 wherein the suture punch comprises an entrance port for the suture pathway in the handle and an exit port in one jaw.
Claim 35
Dependent Claim
46 words
The suture punch of claim 28 wherein the suture drive means comprises a wheel having a rim and an axial shaft mounted to the center thereof, said wheel rotatably mounted to the handle for engaging a suture and pushing the suture through the suture pathway means.
Claim 36
Dependent Claim
47 words
The suture punch of claim 31 wherein the handle comprises an upper head having a cavity therein and a pair of upwardly extending tabs on either side of said cavity having slots wherein the wheel is mounted in said cavity and shaft is mounted in said slots.
Claim 37
Dependent Claim
22 words
The suture punch of claim 32 further comprising biasing means for biasing the wheel upward in the slots of the tab members.
Claim 38
Dependent Claim
12 words
The suture punch of claim 28 wherein both jaws are movably mounted.
Claim 39
Dependent Claim
32 words
The suture punch of claim 28 comprising a motor mounted to the handle; means for coupling the motor to the suture drive means; and actuation means for activating and deactivating the motor.
Claim 40
Dependent Claim
34 words
The suture punch of claim 28 wherein the punch means comprises sections of the tubular members extending upwardly form one jaw to form punches, said punches having sharpened piercing tips effective to pierce tissue.
Claim 41
Dependent Claim
24 words
The suture punch of claims 1, 4, 19, or 28 wherein the suture pathway means produces a stitch in tissue having a U-shaped configuration.
References Cited (Backward Citations)
US3470875A
Cited
US3807407A
Cited
US4164225A
Cited
US4890615A
Cited
US4923461A
Cited
US4957498A
Cited
US4890615B1
Cited
US4923461B1
Cited
US4923461B2
Cited
US4935027A
Cited
US5088979A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1996-10-18 | 1997-04-19 | 1997-10-19 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2000-10-18 | 2001-04-19 | 2001-10-19 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2004-10-18 | 2005-04-19 | 2005-10-19 | $7700.00 | Window Closed / Lapsed |