CA2523791A1 - Surgical instrument for endoscopic suturing of deep subcutaneous tissue - Google Patents
Surgical instrument for endoscopic suturing of deep subcutaneous tissue Download PDFInfo
- Publication number
- CA2523791A1 CA2523791A1 CA002523791A CA2523791A CA2523791A1 CA 2523791 A1 CA2523791 A1 CA 2523791A1 CA 002523791 A CA002523791 A CA 002523791A CA 2523791 A CA2523791 A CA 2523791A CA 2523791 A1 CA2523791 A1 CA 2523791A1
- Authority
- CA
- Canada
- Prior art keywords
- stffm
- insert
- instrument
- engaging
- skin
- 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
Links
- 206010033675 panniculitis Diseases 0.000 title abstract 2
- 210000004304 subcutaneous tissue Anatomy 0.000 title abstract 2
- 230000037431 insertion Effects 0.000 claims abstract 3
- 238000003780 insertion Methods 0.000 claims abstract 3
- 238000001356 surgical procedure Methods 0.000 claims 3
- 230000003187 abdominal effect Effects 0.000 claims 1
- 210000000481 breast Anatomy 0.000 claims 1
- 210000001217 buttock Anatomy 0.000 claims 1
- 230000003387 muscular Effects 0.000 claims 1
- 210000000689 upper leg Anatomy 0.000 claims 1
- 238000002316 cosmetic surgery Methods 0.000 abstract 1
- 210000003195 fascia Anatomy 0.000 abstract 1
- 210000003205 muscle Anatomy 0.000 abstract 1
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
- A61B17/0482—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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/285—Surgical forceps combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00792—Plastic 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0419—H-fasteners
-
- 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
- A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length 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
- A61B2017/06071—Needles, e.g. needle tip configurations with an abrupt angle formed between two adjacent sections
-
- 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
- A61B2017/0608—J-shaped
Abstract
A surgical instrument is provided, principally for use with endoscopic plastic surgery, and adapted for insertion into an incision for engaging subcutaneous tissue, fat, fascia or muscle (STFFM) through a remote access incision, grasping the STFFM, and enabling it to be moved to another location. The STFFM
is grasped preferably by engaging it with a needle and passing a suture through it, with the suture being locked by engagement via a hook, all at a location inside the skin that is remote from the opening. This enables the sutured STFFM to be moved, in any direction, but most often toward the incision as the inserted portion of the instrument is removed. A vacuum and an external clamp are provided, for facilitating engagement of the portion of the STFFM that is to be sutured.
is grasped preferably by engaging it with a needle and passing a suture through it, with the suture being locked by engagement via a hook, all at a location inside the skin that is remote from the opening. This enables the sutured STFFM to be moved, in any direction, but most often toward the incision as the inserted portion of the instrument is removed. A vacuum and an external clamp are provided, for facilitating engagement of the portion of the STFFM that is to be sutured.
Claims (29)
1. An instrument for endoscopically, surgically engaging and grasping STFFM of a patient internally remote from a skin access opening and moving the engaged and grasped STFFM relative to the opening, comprising:
(a) an elongate insert having first and second ends for insertion of the first end through an access opening in the STFFM of a patient to a location inside the skin of a patient that is remote from the access opening, leaving the second end of the insert outside the access opening;
(b) means for engaging the STFFM in secured contact with said first end of said insert internally of the outer surface of the skin and remote from the access opening;
(c) a suturing needle having first and second ends, carried by said insert and carrying a suture therewith;
(d) means associated with said second end of said insert for actuating said first end of said needle for piercing the engaged STFFM of (b) above and passing the suture through the STFFM;
(e) means carried by the insert, cooperating with said first end of said needle for engaging and maintaining the suture through the portion of the engaged STFFM after withdrawal of the first end of the needle from the portion of the engaged STFFM;
(f) means carried by the second end of the insert for engaging the second end of the needle and withdrawing the first end of the needle from the portion of the engaged STFFM;
(g) whereby movement of the first end of the insert relative to the access opening will cause the portion of the engaged STFFM internally of the outer surface of the skin to be correspondingly moved with the first end of the insert.
(a) an elongate insert having first and second ends for insertion of the first end through an access opening in the STFFM of a patient to a location inside the skin of a patient that is remote from the access opening, leaving the second end of the insert outside the access opening;
(b) means for engaging the STFFM in secured contact with said first end of said insert internally of the outer surface of the skin and remote from the access opening;
(c) a suturing needle having first and second ends, carried by said insert and carrying a suture therewith;
(d) means associated with said second end of said insert for actuating said first end of said needle for piercing the engaged STFFM of (b) above and passing the suture through the STFFM;
(e) means carried by the insert, cooperating with said first end of said needle for engaging and maintaining the suture through the portion of the engaged STFFM after withdrawal of the first end of the needle from the portion of the engaged STFFM;
(f) means carried by the second end of the insert for engaging the second end of the needle and withdrawing the first end of the needle from the portion of the engaged STFFM;
(g) whereby movement of the first end of the insert relative to the access opening will cause the portion of the engaged STFFM internally of the outer surface of the skin to be correspondingly moved with the first end of the insert.
2. The insert of claim 1, wherein the means for engaging the STFFM in secured contact with said first end of said insert comprise vacuum means applied via said insert.
3. The instrument of claim 1, wherein the means for engaging the STFFM in secured contact with said first end of said insert comprise manual engagement means applied against the outside surface of the skin.
4. The instrument of claim 1, wherein the means for engaging the STFFM in secured contact with said first end of said insert comprise vacuum means applied via said insert, and wherein the means for engaging the STFFM in secured contact with said first end of said insert comprise manual engagement means applied against the outside surface of the skin.
5. The instrument of claim 1, wherein the means for engaging and maintaining the suture of clause (e) of claim 1 comprises a hook means.
6. The instrument of claim 1, wherein means are provided for effecting a partial withdrawal of the needle from the engaged STFFM, an amount sufficient to form a loop in the suture after the needle and suture have pierced the STFFM, whereby the hook means can engage the loop.
7. The instrument of claim 1, wherein the means for engaging and withdrawing of clause (f) of claim 1 comprises spring means biased for urging the suturing needle toward the second end of the insert.
8. The instrument of claim 2, wherein the second end of the insert includes a cavity, and wherein the insert includes a vacuum delivery conduit from the second end of the insert to the cavity.
9. The instrument of claim 8, wherein the cavity has at least one hole therethrough for receiving the needle therein.
10. The instrument of claim 8, wherein the cavity includes an opening facing toward the portion of the STFFM to be engaged.
11. The instrument of claim 10, wherein the cavity opening comprises means for effecting a vacuum seal of the STFFM disposed thereagainst.
12. The instrument of claim 10, including wherein the means for engaging the STFFM in secured contact with said first end of said insert comprise manual engagement means applied against the outside surface of the skin.
13. The instrument of claim 1, wherein the insert is adapted for effecting a facelift, whereby the movement of clause (g) of claim 1 is adapted to lift the engaged portion of the STFFM toward the access opening.
14. The instrument of claim 1, wherein the insert is adapted for any of:
a. brow surgery;
b. midface surgery; and c. neck surgery.
a. brow surgery;
b. midface surgery; and c. neck surgery.
15. The instrument of claim 1, wherein the instrument is adapted for effecting a breast lift.
16. The instrument of claim 1, wherein the instrument is adapted for effecting a thigh lift.
17. The instrument of claim 1, wherein the instrument is adapted for effecting any of:
(a) an abdominal lift;
(b) a buttocks lift and;
(c) a muscular lift.
(a) an abdominal lift;
(b) a buttocks lift and;
(c) a muscular lift.
18. The instrument of claim 1, wherein the instrument is adapted for effecting an STFFM lift of fat from one location to another, on a patient.
19. A surgical instrument comprising;
(a) elongate insert means having first and second ends, for insertion of the first end into an opening of the skin between an outer surface thereof and STFFM that is inwardly of the outer skin surface to a location remote from the opening of the skin;
(b) means on the first end of the insert means for engaging remote STFFM inwardly of the skin outer surface and for securing the remote STFFM to the first end of the insert;
(c) whereby withdrawal of the insert through the opening of the skin withdraws the remote engaged and secured STFFM toward the opening in the skin.
(a) elongate insert means having first and second ends, for insertion of the first end into an opening of the skin between an outer surface thereof and STFFM that is inwardly of the outer skin surface to a location remote from the opening of the skin;
(b) means on the first end of the insert means for engaging remote STFFM inwardly of the skin outer surface and for securing the remote STFFM to the first end of the insert;
(c) whereby withdrawal of the insert through the opening of the skin withdraws the remote engaged and secured STFFM toward the opening in the skin.
20. The instrument of claim 19, wherein the engaging and securing means includes means for suturing the remote STFFM to the first end of the insert, inwardly of the outer surface of the skin.
21. The instrument of claim 20, wherein the engaging and securing means includes a suturing needle carried by the insert for entering the remote STFFM with a suture, and with a suture securing device being carried by the insert for securing the sutured remote STFFM to the first end of the insert upon actuation of the securing device from the second end of the insert, outside the opening in the skin.
22. The instrument of claim 19, wherein the engaging means includes vacuum engaging means delivered to the first end of the insert, for engaging the remote STFFM to the first end of the insert.
23. The instrument of claim 19, wherein the engaging means includes clamp means carried by the insert for contacting an outer surface of the skin outside the remote STFFM and urging the remote STFFM against the first end of the insert.
24. The instrument of claim 19, wherein the engaging and securing means includes means for suturing the remote STFFM to the first end of the insert, inwardly of the outer surface of the skin, wherein the engaging and securing means includes a suturing needle carried by the insert for entering the remote STFFM with a suture, and with a suture securing device being carried by the insert for securing the sutured STFFM to the first end of the insert upon actuation of the securing device from the second end of the insert, outside the opening in the skin, wherein the engaging means includes vacuum engaging means delivered to the first end of the insert, for engaging the remote STFFM to the first end of the insert, and wherein the engaging means includes clamp means carried by the insert for contacting an outer surface of the skin outside the remote STFFM and urging the remote STFFM against the first end of the insert.
25. The instrument of claim 24, wherein means are provided for effecting a partial withdrawal of the needle from the engaged STFFM, an amount sufficient to form a loop in the suture after the needle and suture have pierced the STFFM, whereby the hook means can engage the loop.
26. The instrument of claim 22, wherein said vacuum engaging means allows maximum flexibility for optimizing the location of engagement of the STFFM, for optimizing movement of the engaged STFFM.
27. The instrument of claim 19, wherein the means for engaging of clause (b) comprises an internal forceps for grasping STFFM.
28. The instrument of claim 27, wherein the forceps is adapted for engaging the STFFM, without requiring an external engagement device.
29. The instrument of claim 27, wherein the forceps is adapted for engaging STFFM in the absence of vacuum engagement of STFFM.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/336,277 | 2003-01-03 | ||
| US10/336,277 US7060079B2 (en) | 2003-01-03 | 2003-01-03 | Surgical instrument for endoscopic suturing of deep subcutaneous tissue |
| PCT/US2003/039749 WO2004062466A2 (en) | 2003-01-03 | 2003-12-15 | Surgical instrument for endoscopic suturing of deep subcutaneous tissue |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2523791A1 true CA2523791A1 (en) | 2004-07-29 |
| CA2523791C CA2523791C (en) | 2012-02-07 |
Family
ID=32680976
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2523791A Expired - Lifetime CA2523791C (en) | 2003-01-03 | 2003-12-15 | Surgical instrument for endoscopic suturing of deep subcutaneous tissue |
Country Status (7)
| Country | Link |
|---|---|
| US (2) | US7060079B2 (en) |
| EP (1) | EP1592351B1 (en) |
| AT (1) | ATE502587T1 (en) |
| AU (1) | AU2003300914A1 (en) |
| CA (1) | CA2523791C (en) |
| DE (1) | DE60336507D1 (en) |
| WO (1) | WO2004062466A2 (en) |
Families Citing this family (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU2004229028B2 (en) * | 1999-10-21 | 2007-05-31 | Edwards Lifesciences Corporation | Minimally invasive mitral valve repair method and apparatus |
| ES2435094T3 (en) | 2000-05-19 | 2013-12-18 | C.R. Bard, Inc. | Device and method of tissue capture and suturing |
| US20100137888A1 (en) * | 2003-01-03 | 2010-06-03 | Eye Plastic Surgery, Ltd. | Surgical Instrument for Endoscopic Suturing of Deep Subcutaneous Tissue |
| WO2004105621A1 (en) | 2003-05-09 | 2004-12-09 | Tyco Healthcare Group, Lp | Anastomotic staple with fluid dispensing capillary |
| JP4565218B2 (en) | 2003-05-16 | 2010-10-20 | シー・アール・バード・インク | Single intubation multiple-time suture endoscopic suture system |
| US7976553B2 (en) | 2005-06-13 | 2011-07-12 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus with detachable handle |
| US7615060B2 (en) * | 2005-06-13 | 2009-11-10 | Ethicon-Endo Surgery, Inc. | Endoscopic suturing device |
| US7365988B2 (en) | 2005-11-04 | 2008-04-29 | Graftech International Holdings Inc. | Cycling LED heat spreader |
| US7731727B2 (en) * | 2006-04-26 | 2010-06-08 | Lsi Solutions, Inc. | Medical instrument to place a pursestring suture, open a hole and pass a guidewire |
| US7566340B2 (en) * | 2006-12-04 | 2009-07-28 | Implicitcare, Llc | Surgical threading device and method for using same |
| US20080132931A1 (en) * | 2006-12-04 | 2008-06-05 | Gregory Paul Mueller | Skin puncturing device |
| US8951271B2 (en) | 2006-12-04 | 2015-02-10 | Implicitcare, Llc | Surgical threading device and method for using same |
| US20080132946A1 (en) * | 2006-12-04 | 2008-06-05 | Gregory Paul Mueller | Skin port |
| US8025671B2 (en) * | 2006-12-04 | 2011-09-27 | Implicitcare, Llc | Surgical threading device and method for using same |
| US7740647B2 (en) * | 2006-12-04 | 2010-06-22 | Implicitcare, Llc | Necklift procedure and instruments for performing same |
| US9033999B2 (en) | 2006-12-04 | 2015-05-19 | Implicitcare, Llc | Surgical threading device with removable suture |
| US9226748B2 (en) * | 2007-07-26 | 2016-01-05 | Alpha Scientific Corporation | Surgical suturing device, method and tools used therewith |
| US9622741B2 (en) | 2007-07-26 | 2017-04-18 | Alpha Scientific Corporation | Surgical suturing device and tools used therewith |
| HRPK20070533B3 (en) * | 2007-11-21 | 2011-01-31 | Zelimir Obradovic | Instrument for intradermal suturing of surgical wounds |
| US8348929B2 (en) * | 2009-08-05 | 2013-01-08 | Rocin Laboratories, Inc. | Endoscopically-guided tissue aspiration system for safely removing fat tissue from a patient |
| US8465471B2 (en) | 2009-08-05 | 2013-06-18 | Rocin Laboratories, Inc. | Endoscopically-guided electro-cauterizing power-assisted fat aspiration system for aspirating visceral fat tissue within the abdomen of a patient |
| US8864777B2 (en) | 2011-01-28 | 2014-10-21 | Anchor Orthopedics Xt Inc. | Methods for facilitating tissue puncture |
| US9636110B2 (en) | 2013-03-13 | 2017-05-02 | Alpha Scientific Corporation | Structural support incorporating multiple strands |
| WO2014145724A2 (en) | 2013-03-15 | 2014-09-18 | Alpha Scientific Corporation | Surgical suturing device with transverse engagement |
| CN103565484A (en) * | 2013-08-24 | 2014-02-12 | 郑科 | Minz deep tissue suture method and minz deep tissue suture instrument |
| US10537322B2 (en) * | 2017-01-17 | 2020-01-21 | Ethicon Llc | Surgical suturing instrument cartridge with needle release feature |
| US10898181B2 (en) | 2017-03-17 | 2021-01-26 | Cypris Medical, Inc. | Suturing system |
| US10660637B2 (en) | 2018-04-06 | 2020-05-26 | Cypris Medical, Inc. | Suturing system |
| US11033261B2 (en) * | 2018-05-31 | 2021-06-15 | Cypris Medical, Inc. | Suture system |
| US11701107B2 (en) | 2021-03-26 | 2023-07-18 | Tsymm Innovations Llc | Suturing device and clamp for use with same |
Family Cites Families (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB8422863D0 (en) * | 1984-09-11 | 1984-10-17 | Univ London | Sewing machine |
| CA2124651C (en) * | 1993-08-20 | 2004-09-28 | David T. Green | Apparatus and method for applying and adjusting an anchoring device |
| US5507754A (en) * | 1993-08-20 | 1996-04-16 | United States Surgical Corporation | Apparatus and method for applying and adjusting an anchoring device |
| GB9405790D0 (en) * | 1994-03-23 | 1994-05-11 | Univ London | Sewing device |
| US5797927A (en) * | 1995-09-22 | 1998-08-25 | Yoon; Inbae | Combined tissue clamping and suturing instrument |
| US5984932A (en) * | 1996-11-27 | 1999-11-16 | Yoon; Inbae | Suturing instrument with one or more spreadable needle holders mounted for arcuate movement |
| US5947982A (en) * | 1997-04-02 | 1999-09-07 | Smith & Nephew, Inc. | Suture-passing forceps |
| US5871490A (en) * | 1997-04-08 | 1999-02-16 | Ethicon Endo-Surgery, Inc. | Suture cartridge assembly for a surgical knot |
| US5947700A (en) * | 1997-07-28 | 1999-09-07 | Mckain; Paul C. | Fluid vacuum safety device for fluid transfer systems in swimming pools |
| AT408832B (en) * | 1997-09-09 | 2002-03-25 | Werner Ing Fuchs | SURGICAL SEWING PLIERS |
| US6036700A (en) * | 1998-07-14 | 2000-03-14 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
| ES2401781T3 (en) * | 2000-05-19 | 2013-04-24 | C.R. Bard, Inc. | Device to promote tissue adhesion |
| US6533796B1 (en) * | 2000-10-11 | 2003-03-18 | Lsi Solutions, Inc. | Loader for surgical suturing instrument |
-
2003
- 2003-01-03 US US10/336,277 patent/US7060079B2/en not_active Expired - Lifetime
- 2003-12-15 AT AT03815208T patent/ATE502587T1/en not_active IP Right Cessation
- 2003-12-15 DE DE60336507T patent/DE60336507D1/en not_active Expired - Lifetime
- 2003-12-15 EP EP03815208A patent/EP1592351B1/en not_active Expired - Lifetime
- 2003-12-15 AU AU2003300914A patent/AU2003300914A1/en not_active Abandoned
- 2003-12-15 WO PCT/US2003/039749 patent/WO2004062466A2/en not_active Application Discontinuation
- 2003-12-15 CA CA2523791A patent/CA2523791C/en not_active Expired - Lifetime
-
2006
- 2006-01-27 US US11/341,161 patent/US7780684B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CA2523791C (en) | 2012-02-07 |
| WO2004062466A3 (en) | 2005-03-03 |
| ATE502587T1 (en) | 2011-04-15 |
| AU2003300914A1 (en) | 2004-08-10 |
| US7780684B2 (en) | 2010-08-24 |
| AU2003300914A8 (en) | 2004-08-10 |
| US20040133216A1 (en) | 2004-07-08 |
| EP1592351A4 (en) | 2009-01-21 |
| EP1592351B1 (en) | 2011-03-23 |
| US20060149298A1 (en) | 2006-07-06 |
| WO2004062466A2 (en) | 2004-07-29 |
| US7060079B2 (en) | 2006-06-13 |
| DE60336507D1 (en) | 2011-05-05 |
| EP1592351A2 (en) | 2005-11-09 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKEX | Expiry |
Effective date: 20231215 |