The technology is generally related to surgical stitching devices and, more particularly, to surgical stitching devices including structure for transferring a needle between jaws of the stitching device.
Surgical stitching devices are known to perform a variety of surgical procedures. Typically, surgical stitching devices include a rotating jaw, a fixed jaw, a transferring mechanism, and a needle that supports a suture. The needle includes a curved body that has tapered ends that are configured to pierce tissue. The rotating jaw and the fixed jaw each include a bore that is positioned to receive one of the tapered ends of the needle as the rotating jaw is moved in relation to the fixed jaw. The transferring mechanism is provided to secure the needle alternatingly to one of the fixed jaw and the rotating jaw. The stitching device also includes a switch for activating the transferring mechanism.
In known stitching devices, the switch is manually activated by a clinician and includes a blade that is movable between retracted and advanced positions into engagement with the needle to secure the needle onto one of the fixed jaw and the rotating jaw. The needle often includes a notch that receives the blade to enhance securement. The need for a clinician to properly operate the transferring device to ensure that the needle is transferred between the jaws is necessary for a successful suturing procedure.
A continuing need exists for a surgical stitching device with a less complex transferring mechanism.
This disclosure is directed to a surgical stitching device that includes a fixed jaw, a rotating jaw, and a transfer mechanism. The rotating jaw is movable in relation to the fixed jaw between a start position and a transfer position. The transfer mechanism includes a first electromagnetic coil supported on the fixed jaw and a second electromagnetic coil supported on the rotating jaw. The first and second electromagnetic coils can be independently energized to transfer the needle between the fixed jaw and the rotating jaw.
One aspect of the disclosure is directed to a stitching device including a handle assembly, an elongate body, and a tool assembly. The handle assembly includes a switch and an actuator. The elongate body extends distally from the handle assembly and includes a distal end portion. The tool assembly is supported on the distal end portion of the elongate body and includes a fixed jaw, a rotating jaw, and a needle. The rotating jaw is movable in relation to the fixed jaw from a start position to a transfer position in response to operation of the actuator. The fixed jaw supports a first electromagnetic coil and the rotating jaw supports a second electromagnet coil. Each of the first and second electromagnetic coils can be independently energized via operation of the switch to secure the needle to one of the fixed jaw or the rotating jaw.
Another aspect of the disclosure is directed to a tool assembly including a fixed jaw, a rotating jaw, and a needle. The rotating jaw is movable in relation to the fixed jaw from a start position to a transfer position. The fixed jaw supports a first electromagnetic coil and the rotating jaw supports a second electromagnet coil. Each of the first and second coils can be independently energized to secure the needle to one of the fixed jaw or the rotating jaw.
In aspects of the disclosure, the first electromagnetic coil defines a first bore, the second electromagnetic coil defines a second bore, and the needle includes a first tapered end and a second tapered end, wherein in the start position, the first tapered end is positioned within the first bore or the second tapered end is positioned within the second bore, and in the transfer position, the first tapered end is positioned within the first bore and the second tapered end is positioned within the second bore.
Another aspect of the disclosure is directed to a stitching device including a handle assembly, an elongate body, a drive assembly, and a tool assembly. The handle assembly includes a switch and an actuator. The elongate body extends distally from the handle assembly. The drive assembly includes a drive rod having a distal end, a cam support member supported on the distal end of the drive rod, and a cam member that is supported on the cam support member. The drive rod is movable between retracted and advanced positions in response to operation of the actuator. The tool assembly includes a fixed jaw, a rotating jaw, and a needle. The rotating jaw includes a helical cam slot that receives the cam member such that operation of the actuator causes movement of the rotating jaw in relation to the fixed jaw from a start position to a transfer position. The fixed jaw supports a first electromagnetic coil and the rotating jaw supports a second electromagnet coil. Each of the first and second electromagnetic coils can be energized via operation of the switch to secure the needle to one of the fixed jaw or the rotating jaw.
In some aspects of the disclosure, the needle includes a curved body.
In certain aspects of the disclosure, the needle is formed at least in part from a ferromagnetic material.
In aspects of the disclosure, the first and second electromagnetic coils, when energized, create a magnetic field to retain the needle within a respective one of the bores of the first or second electromagnetic coils.
In some aspects of the disclosure, the first jaw defines a first bore that receives the first electromagnetic coil and the second jaw defines a second bore that receives the second electromagnetic coil.
In certain aspects of the disclosure, the first and second bores of the first and second electromechanical coils define axes that are transverse to the longitudinal axis of the elongate body.
In aspects of the disclosure, the first electromagnetic coils supports a first plunger and the second electromagnetic coil supports a second plunger, wherein the first and second electromagnetic coils are operable to move the first and second plungers, respectively, from a retracted position to an advanced position into engagement with the needle.
In some aspects of the disclosure, each of the first and second plungers defines a notch that is configured to receive the needle to retain the needle in engagement with a respective one of the respective first and second jaws.
In certain aspects of the disclosure, the first electromagnetic coil defines a first bore and the second electromagnetic coil defines a second bore, wherein the first and second bores of the first and second electromagnetic coils define axes that are parallel to the longitudinal axis of the elongate body.
In aspects of the disclosure, each of the first and second electromagnetic coils is coupled to the switch by wires.
In some aspects of the disclosure, the actuator is positioned to engage the switch such that operation of the actuator activates the switch.
Other features of the disclosure will be appreciated from the following description.
Various aspects of the disclosure are described herein below with reference to the drawings, wherein:
The disclosed surgical stitching device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the aspects of the disclosure are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the disclosure in virtually any appropriately detailed structure. In addition, directional terms such as front, rear, upper, lower, top, bottom, distal, proximal, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure.
In this description, the term “proximal” is used generally to refer to that portion of the device that is closer to a clinician, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician. In addition, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel.
The disclosed surgical stitching device shown generally as stitching device 10 includes a handle assembly 12, an elongate body 14, and a tool assembly 16. The handle assembly 12 includes a housing 18, an actuator 20, and a switch 22. In aspects of the disclosure, the actuator 20 includes spaced triggers 24 that are coupled to the housing 18 about pivot members 26. The triggers 24 pivot in relation to the housing 18 and each other to actuate the tool assembly 16 as described in further detail below. It is envisioned that the actuator 20 can assume a variety of configurations and can include a single trigger, lever, or the like. The elongate body 14 defines a longitudinal axis “X” and includes a tubular housing 28 having a proximal end 28a and a distal end 28b. The proximal end 28a of the tubular housing 28 of the handle assembly 12 is secured to the housing 18 of the handle assembly 12 and the distal end 28b of the tubular housing 28 of the elongate body 14 supports the tool assembly 16 at a position spaced from the handle assembly 12.
The fixed jaw 40 of the stitching device 10 includes a body 66 having a flat support surface 68 that is received on the flat base 62 (
The fixed jaw 40 defines a cylindrical bore 76 (
The rotating jaw 42 includes a proximal hub portion 90 and a jaw portion 92. The proximal hub portion 90 is tubular and defines a helical cam slot 94. The proximal hub portion 90 is rotatably supported about the central body portion 44 of the fixed jaw base 44 such that the proximal end of the proximal hub portion 90 of the rotating jaw 42 abuts the shoulder 51 of the fixed jaw base 44. The jaw portion 92 extends distally from the proximal hub portion 90 and defines a cylindrical bore 96 (
The tool assembly 16 includes a needle 106 and a suture 108. The needle 106 includes a curved body 110 that defines a bore 112 that receives the suture 110 to secure one end of the suture to the needle 106. The curved body 110 of the needle 106 has ends 114 that are tapered to pierce tissue. The needle 106 is formed from, or coated with, a ferromagnetic material and is dimensioned to be alternately received within bores 80a, 98a of the electromagnetic coils 80, 98 as described in further detail below.
The cam member 126 extends through the through bore 132 in the body 128 in a direction transverse to the longitudinal axis “X” of the elongate body 14. The cam member 126 is secured to the cam support member 124 using any suitable securement technique including threading, welding crimping or the like. When the stitching device 10 is assembled, the cam support member 124 is received within the bore 46a defined within the fixed jaw base 44 and the cam member 134 extends transversely outwardly from the cam support member 124, through the diametrically opposed longitudinal slots 54 in the central body portion 48 of the fixed jaw base 44, and through the helical cam slot 94 in the rotating jaw 42
When the tool assembly 15 of the stitching device 10 is in the start position (
When the spaced triggers 24 of the handle assembly 12 are compressed towards the housing 18 of the handle assembly 12, the drive rod 122 of the drive assembly 120 is moved from its advanced position towards its retracted position within the elongate body 14 to move the cam member 126 of the drive assembly 120 from its advanced position towards its retracted position within the helical cam slot 94 of the proximal hub portion 90 of the rotating jaw 42. As the cam member 126 moves through the helical cam slot 94 in the rotating jaw 42, engagement between the cam member 126 and walls defining the cam slot 94 causes the rotating jaw 42 to rotate in the direction of arrow “B” in
When the triggers 24 of the handle assembly 12 are released by the clinician, a spring mechanism (not shown) in the handle assembly 12 returns the triggers 24 to their non-compressed positions. When the triggers 24 return to their non-compressed positions, the drive rod 122 of the drive assembly 120 is moved from its retracted position towards its advanced position within the elongate body 14 to move the cam member 126 of the drive assembly 120 from its retracted position towards its advanced position within the helical cam slot 94 of the proximal hub portion 90 of the rotating jaw 42. As the cam member 126 moves through the helical cam slot 94 in the rotating jaw 42, engagement between the cam member 126 and walls defining the cam slot 94 causes the rotating jaw 42 to rotate in the direction of arrow “D” in
When the triggers 24 of the handle assembly 12 are released by the clinician, the drive rod 122 of the drive assembly 120 is once again moved from its retracted position towards its advanced position within the elongate body 14 to move the cam member 126 of the drive assembly 120 from its retracted position towards its advanced position within the helical cam slot 94 of the proximal hub portion 90 of the rotating jaw 42. As described above, this causes the rotating jaw 42 to rotate in the direction of arrow “H” in
The tool assembly 316 includes a needle 306, a fixed jaw 340, and a rotating jaw 342 that is movable in relation to the fixed jaw 340 to transfer the needle 306 between the jaws 340, 342. The fixed jaw 340 and the rotating jaw 342 are substantially similar in configuration and operation to the jaws 40, 42 described above except for the operation of the electromagnetic coils 380 and 398 which is described in detail below.
The electromagnetic coil 380 is supported on the fixed jaw 340 and supports a first plunger 350. The electromagnetic coil 80 can be energized to advance the plunger 350 within the fixed jaw 340 and deenergized to retract the plunger 350 within the fixed jaw 340. Similarly, the electromagnetic coil 398 is supported on the rotating jaw 342 and supports a second plunger 352. The electromagnetic coil 98 can be energized to advance the plunger 352 within the rotating jaw 342 and deenergized to retract the plunger 352 within the rotating jaw 342.
When the tool assembly 316 is operated to stitch tissue, the electromagnetic coils 380, 398 are selectively energized and deenergized to advance and retract the plungers 350,352, respectively, to transfer the needle 306 between the jaws 340, 342. More specifically, when one of the electromagnets 380, 398 is energized, the respective plunger 350, 352 is advanced into engagement with the needle 306 to secure the needle 306 to the respective jaw 340, 342. In this respect, one of the electromagnetic coils 380, 398 is always energized and the other of the electromagnetic coils 380, 398 is always deenergized.
In some aspects of the disclosure, the plungers 350 and 352 can have a recessed distal end 354 that is configured to engage an outer contour of the needle 306. It is also envisioned that the needle 306 can include a notch 354 at each end of the needle 306 to receive the respective plunger 350, 352 to more securely hold the needle 306 within the respective jaw 340, 342.
Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary aspects of the disclosure. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment may be combined with the elements and features of another without departing from the scope of the present disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described aspects of the disclosure. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.
This application claims the benefit of and priority to U.S. Provisional Patent Application No. 62/988,121, filed on Mar. 11, 2020, the entire disclosure of which is incorporated by reference herein.
Number | Date | Country | |
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62988121 | Mar 2020 | US |