CA2502659A1 - Surgical instruments - Google Patents

Surgical instruments Download PDF

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Publication number
CA2502659A1
CA2502659A1 CA002502659A CA2502659A CA2502659A1 CA 2502659 A1 CA2502659 A1 CA 2502659A1 CA 002502659 A CA002502659 A CA 002502659A CA 2502659 A CA2502659 A CA 2502659A CA 2502659 A1 CA2502659 A1 CA 2502659A1
Authority
CA
Canada
Prior art keywords
handle
rod
surgical instrument
height
instrument according
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
Application number
CA002502659A
Other languages
French (fr)
Other versions
CA2502659C (en
Inventor
Mona Inman
John W. Westrum, Jr.
Johannes N. Gaston
Douglas J. Van Ornum
Robert E. Lund
Brian P. Watschke
Johannes J. Neisz
Vicki R. Vandersloot
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AMS Research LLC
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2502659A1 publication Critical patent/CA2502659A1/en
Application granted granted Critical
Publication of CA2502659C publication Critical patent/CA2502659C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B17/06109—Big needles, either gripped by hand or connectable to a handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • 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
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/06004—Means for attaching suture to 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
    • A61B17/0469—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
    • A61B17/04—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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • 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
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • 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
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within 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
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06014—Means for attaching suture to needle spring-loaded
    • 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
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06042—Means for attaching suture to needle located close to needle tip
    • 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
    • A61B2017/06085—Needles, e.g. needle tip configurations having a blunt tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/02—Devices for expanding tissue, e.g. skin tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings

Abstract

A novel surgical instrument is shown and described. The surgical instrument is useful in pelvic floor repair procedures such as sling procedures for treating incontinence.

Claims (19)

1. A surgical instrument for addressing pelvic disorders comprising:
a handle having a width, height and depth, an elongate, slender, metal, curved rod emerging from the handle, the rod having a proximal end portion permanently fixed to the handle, a curved axis, and a distal end portion having a distal tip, the elongate curved rod having at least a portion with a radius and a length along the curved axis between the distal tip of the rod and a point on the rod axis where the rod emerges from the handle, the length being between about 6 inches and about 12 inches;
the handle having a major anterior surface having a width and height, the height of the handle is between about 3.25 inches and about 4.75 inches, the major anterior surface being situated to face a surgeon with the rod extending generally toward the surgeon, a major posterior surface having a width and height, minor side surfaces having a depth and height, the width of the handle being in a direction that is substantially perpendicular to the axis of the rod, the handle having a height more than forty percent of the length of the rod and less than eighty percent of the length of the rod, and the depth of the handle being less than the height of the handle.
2. A surgical instrument according to claim 1 wherein the rod is curved along a substantial portion of its axis with a radius of curvature that is between 4.5 and 5.5 inches, and the distal tip is substantially blunt.
3. A surgical instrument according to claim 1 wherein the handle has a longitudinal axis along its height, and the major anterior surface of the handle includes an elongate channel extending across the width of the handle, the channel having an axis that extends substantially perpendicular to the longitudinal axis of the handle, and the length of the channel along the longitudinal axis of the handle being more than 0.5 inches and less than 1 inch.
4. A surgical instrument according to claim 1 wherein the rod comprises stainless steel and at least one material comprising the handle is a polymer with a density less than the stainless steel density.
5. A surgical instrument according to claim 1, wherein the height to width ratio is greater than 3:1.
6. A surgical instrument according to claim 1 wherein the handle has a longitudinal axis, and the anterior surface has a plurality of tactile surfaces extending in a direction substantially perpendicular to the longitudinal axis of the handle.
7. A surgical instrument according to claim 6 wherein the handle has a proximal and distal end, with the rod emerging from the distal end of the handle, and the handle includes an elongate channel with an axis that extends substantially perpendicular to the longitudinal axis of the handle, and the tactile surfaces are located distal to the elongate channel.
8. A surgical instrument according to claim 1 wherein the handle includes a flare at a proximal end portion, the posterior surface including a concave surface and the anterior surface including a convex surface.
9. A surgical instrument according to claim 1 wherein at least two thirds of the exterior surface of the elongate rod includes a surface treatment for enhancing grasping of the rod.
10. A surgical instrument according to claim 6 wherein the posterior surface has a plurality of tactile surfaces extending in a direction substantially perpendicular to the longitudinal axis of the handle.
11. A surgical instrument according to claim 1 wherein the handle includes polycarbonate.
12. A surgical instrument according to claim 1 wherein the handle has a longitudinal axis along its height, and the major posterior surface has a plurality of tactile surfaces with axes substantially perpendicular to the longitudinal axis of the handle.
13. A surgical instrument according to claim 12 wherein the tactile surfaces comprise protrusions.
14. A surgical instrument according to claim 6 wherein the anterior surface includes at least four tactile surfaces.
15. A surgical instrument according to claim 14 wherein the tactile surfaces comprise grooves.
16. A surgical instrument according to claim 1 wherein depth to width ratio of the handle is less than 1:2.
17. A surgical instrument according to claim 1 wherein the handle has a longitudinal axis along its height, and the major posterior surface of the handle includes an elongate, substantially oval-shaped depression having an axis that extends substantially parallel to the longitudinal axis of the handle.
18. A surgical instrument for addressing pelvic disorders comprising:
a handle having a width, height and depth, an elongate, slender, metal, rod emerging from the handle, the rod having a proximal end portion permanently fixed to the handle, an axis, and a distal end portion having a substantially blunt distal tip, the elongate rod having a length along the axis between the distal tip of the rod and a point on the rod axis where the rod emerges from the handle;
the handle having a major anterior surface having a width and height, a major posterior surface having a width and height, minor side surfaces having a depth and height, the width of the handle being in a direction that is substantially perpendicular to the axis of the rod, the handle having a height more than about forty percent of the length of the rod and less than about eighty percent of the length of the rod, the depth of the handle being less than the height of the handle, the handle having a longitudinal axis along its height, and the major anterior surface of the handle including an elongate channel extending across the width of the handle, the channel having an axis that extends substantially perpendicular to the longitudinal axis of the handle, the handle has a proximal and distal end, with the rod emerging from the distal end of the handle, and a flare at a proximal end portion of the handle, the posterior surface including a substantially concave surface and the anterior surface including a substantially convex surface.
19. A surgical instrument according to claim 18 wherein the handle has a longitudinal axis along its height, and the major posterior surface of the handle includes an elongate depression having an axis that extends substantially parallel to the longitudinal axis of the handle.
CA2502659A 2002-10-17 2003-08-04 Surgical instruments Expired - Lifetime CA2502659C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/274,524 US7037255B2 (en) 2001-07-27 2002-10-17 Surgical instruments for addressing pelvic disorders
US10/274,524 2002-10-17
PCT/US2003/024362 WO2004034912A1 (en) 2002-10-17 2003-08-04 Surgical instruments

Publications (2)

Publication Number Publication Date
CA2502659A1 true CA2502659A1 (en) 2004-04-29
CA2502659C CA2502659C (en) 2011-09-20

Family

ID=32106471

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2502659A Expired - Lifetime CA2502659C (en) 2002-10-17 2003-08-04 Surgical instruments

Country Status (10)

Country Link
US (2) US7037255B2 (en)
EP (2) EP2319420B1 (en)
JP (1) JP4404774B2 (en)
KR (1) KR100937177B1 (en)
AT (2) ATE483405T1 (en)
AU (1) AU2003254314B2 (en)
BR (1) BR0315371A (en)
CA (1) CA2502659C (en)
DE (1) DE60334477D1 (en)
WO (1) WO2004034912A1 (en)

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US7223229B2 (en) 2007-05-29
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ATE483405T1 (en) 2010-10-15
ATE548976T1 (en) 2012-03-15
AU2003254314A1 (en) 2004-05-04
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JP2006502800A (en) 2006-01-26
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JP4404774B2 (en) 2010-01-27
KR20050075360A (en) 2005-07-20
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