Deployment System for Surgical Suture
A suture deployment system is disclosed including a surgical needle having a flexible suture fixedly attached thereto and a target suture releasably secured to the flexible suture. Either the flexible suture or the target suture may be made of a shape memory polymer. A collar is positioned between the flexible suture and the target suture and is fixedly secured to the flexible suture. The target suture is releasably secured to the collar is such that the target suture may detach from the collar once a surgical procedure has been completed. The surgical needle is a double pointed surgical needle specifically configured to be manipulated by a surgical suturing apparatus.
1 . A suture deployment system comprising:
a surgical needle;
a flexible suture having a distal end and a proximal end, the distal end of the flexible suture being attached to the surgical needle; and
a target suture having a distal end and a proximal end, wherein the distal end of the target suture is secured to the proximal end of the flexible suture, and wherein at least one of the flexible suture and the target suture comprise a shape memory polymer.
2 . The suture deployment system as recited in claim 1 , wherein the target suture includes a plurality of barbs located on an outer surface of the target suture.
3 . The suture deployment system as recited in claim 2 , wherein the plurality of barbs comprise a shape memory polymer.
4 . The suture deployment system as recited in claim 1 , further comprising a hollow collar having a distal end and a proximal end, the hollow collar being positioned intermediate the proximal end of the flexible suture and the distal end of the target suture.
5 . The suture deployment system of claim 1 , wherein the shape memory polymer is selected from the group consisting of bioabsorbable materials, non-degradable materials and combinations thereof.
6 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a non-degradable material selected from the group consisting of polyolefins, polyethylene glycols, polyethylene oxides, polyolefin copolymers, fluorinated polyolefins, polyamides, polyamines, polyimines, polyesters, polyethers, polybutesters, polyurethanes, acrylic polymers, methacrylics polymers, vinyl halide polymers and copolymers, polyvinyl alcohols, polyvinyl ethers, polyvinylidene halides, polychlorofluoroethylene, polyacrylonitrile, polyaryletherketones, polyvinyl ketones, polyvinyl aromatics, polyvinyl esters, copolymers of vinyl monomers, acrylonitrile-styrene copolymers, ABS resins, ethylene-vinyl acetate copolymers, alkyd resins, polycarbonates, polyoxymethylenes, polyphosphazines, polyimides, epoxy resins, aramids, rayons, spandex, silicones, and combinations thereof.
7 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a bioabsorbable material selected from the group consisting of aliphatic polyesters, polyamides, polyamines, polyalkylene oxalates, poly(anhydrides), polyamidoesters, copoly(ether-esters), poly(carbonates), poly(hydroxyalkanoates), polyimide carbonates, poly(imino carbonates), polyorthoesters, polyoxaesters, polyphosphazenes, poly (propylene fumarates), polyurethanes, polymer drugs, biologically modified bioabsorbable polymers, and copolymers, homopolymers, and combinations thereof.
8 . The suture deployment system of claim 7 , wherein the shape memory polymer comprises an aliphatic polyester selected from the group consisting of homopolymers and copolymers of lactide, glycolide, epsilon-caprolactone, p-dioxanone, trimethylene carbonate, alkyl derivatives of trimethylene carbonate, Δ-valerolactone, β-butyrolactone, γ-butyrolactone, ε-decalactone, hydroxybutyrate, hydroxyvalerate, 1,4-dioxepan-2-one, 1,5-dioxepan-2-one, 6,6-dimethyl-1,4-dioxan-2-one, 2,5-diketomorpholine, pivalolactone, α,α diethylpropiolactone, ethylene carbonate, ethylene oxalate, 3-methyl-1,4-dioxane-2,5-dione, 3,3-diethyl-1,4-dioxan-2,5-dione, 6,8-dioxabicycloctane-7-one, and combinations thereof.
9 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a biodegradable polymer selected from the group consisting of poly(amino acids), collagen, elastin, fibrin, fibrinogen, silk, albumin, peptides including sequences for laminin and fibronectin, hyaluronic acid, dextran, alginate, chitin, chitosan, cellulose, glycosaminoglycan, gut, methyl cellulose, ethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methyl cellulose, hydroxybutyl methyl cellulose, cellulose acetate, cellulose propionate, cellulose acetate butyrate, cellulose acetate phthalate, carboxymethyl cellulose, cellulose triacetate, cellulose sulfate sodium salt, nitrocelluloses, chitosan, and combinations thereof.
10 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a polymer selected from the group consisting of oligo (epsilon-caprolactone) dimethacrylates, oligo (epsilon-caprolactone) butyl acrylates, (n-butyl acrylate), oligo (epsilon caprolactone) diol/oligo (p-dioxanone) diol copolymers, polycaprolactone dimethacrylate poly(butyl acrylate) blends, and combinations thereof.
11 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a block copolymer of polydioxanone and polylactide.
12 . The suture deployment system of claim 11 , wherein the polydioxanone is present in an amount from about 5 mol % to about 20 mol % of the copolymer and the polylactide is present in an amount from about 80 mol % to about 95 mol % of the copolymer.
13 . The suture deployment system of claim 1 , wherein the shape memory polymer comprises a block copolymer of trimethylene carbonate and polylactide.
14 . The suture deployment system of claim 13 , wherein the trimethylene carbonate is present in an amount from about 5 mol % to about 20 mol % of the copolymer and the polylactide is present in an amount from about 80 mol % to about 95 mol % of the copolymer.
15 . A suture deployment system comprising:
a surgical needle having a body portion and a tissue penetrating tip formed at each end of the body portion;
a multifilament suture having a distal end and a proximal end, the distal end of the multifilament suture being secured within the suture hole in the body portion of the surgical needle;
a hollow collar having a distal end and a proximal end, the proximal end of the multifilament suture being within the distal end of the hollow collar; and
a monofilament target suture having a distal end and a proximal end, wherein the distal end of the monofilament target suture is releasably secured within the proximal end of the hollow collar, and wherein at least one of the multifilament suture and monofilament target suture comprise a shape memory material.
16 . The suture deployment system as recited in claim 15 , wherein the monofilament target suture is a barbed suture.
17 . The suture deployment system as recited in claim 15 , wherein the surgical needle includes at least one crimping bump adjacent the suture hole.
18 . The suture deployment system as recited in claim 15 , wherein the surgical needle includes at least one engagement slot for receipt of engagement structure associated with a surgical suturing apparatus.
19 . The suture deployment system as recited in claim 15 , wherein the barbed suture is a compound barbed suture including:
an elongated body; and
at least one barb extending from the elongated body and defining an inner surface, the inner surface including a first portion disposed at a first orientation relative to a longitudinal axis of the elongated body and a second portion disposed at a second orientation relative to the longitudinal axis.
20 . The suture deployment system as recited in claim 19 , wherein at least one of the first and second portions is substantially linear.
21 . The suture deployment system as recited in claim 20 , wherein the first and second portions are at first and second angles relative to respective longitudinal axes of the elongated body.
22 . The suture deployment system as recited in claim 21 , wherein the second angle is less than the first angle.
23 . The suture deployment system as recited in claim 21 , wherein the first angle is between about 0 degrees to about 90 degrees.
24 . The suture deployment system as recited in claim 21 , wherein the second angle is between about 0 degrees to about 90 degrees.