Suture passing instruments and methods
View Patent ↗An apparatus for passing one or more sutures in tissue repair and/or other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a curved needle mounted on the hand assembly and through a shaft. The curved needle remains within the jaw assembly and can be actuated out of the jaw assembly without deformation of the needle and by linear advancement of a needle linkage.
1. A suture passing instrument comprising:
a shaft having a far portion;
a handle assembly coupled to the shaft, the handle assembly comprising a needle actuator, a handle portion, and a trigger lever, where the needle actuator is moveably coupled to the handle portion and the trigger lever is moveably coupled to the handle portion;
a jaw assembly coupled to the far portion of the shaft and comprising an actuating jaw moveably coupled to a fixed jaw between an open and closed position;
a needle linkage extending through the shaft and having a first end and a second end coupled to the needle actuator; and
a curved needle coupled to the first end of the needle linkage at a pivot joint, the curved needle slidably positioned within a track of the fixed jaw, where a curvature of the curved needle and a curvature of the track are matched to permit movement of the curved needle through the track without deformation of the curved needle and where the track is configured to permit movement of the first end of the needle linkage to follow the curvature of the track without deformation of the needle linkage as the needle linkage advances through the fixed jaw.
2. The suture passing instrument of claim 1 , where actuation of the trigger lever moves the actuating jaw relative to the fixed jaw to open and close the jaw assembly independently of the needle linkage.
3. The suture passing instrument of claim 1 , where the curved needle comprises a suture carrying slot at a distal portion allowing for loading of a suture external to the shaft.
4. The suture passing device of claim 3 , where the actuating jaw comprises an opening at a distal end to further expose the suture carrying slot when the jaw assembly is closed.
5. The suture passing instrument of claim 1 , where movement of the needle actuator advances the needle linkage to move the curved needle through the curved track.
6. The suture passing device of claim 1 , where the fixed jaw comprises an opening at a distal end exposing the suture carrying slot for loading of the suture external to the shaft.
7. The suture passing device of claim 1 , further comprising a jaw linkage located within the shaft and having a first end and a second end, the first end of the jaw linkage engaged with the actuating jaw, the second end of the jaw linkage engaged with the trigger lever, such that movement of the trigger lever relative to the handle portion causes movement of the jaw linkage causing movement of the actuating jaw relative to the fixed jaw.
8. The suture passing device of claim 1 , where the trigger lever comprises a first actuator portion pivotally coupled to the handle portion and a second locking portion pivotally coupled to the first actuator portion, where the second locking portion comprises a trigger locking surface moveably engaged with a handle locking surface, such that when engaged, the trigger locking surface and handle locking surface locks the trigger lever in place to lock the jaw assembly in place.
9. The suture passing device of claim 8 , where the second locking portion is spring biased against the first actuator portion, and where relative movement between the first actuator portion and the second locking portion causes disengagement of the trigger locking surface from the handle locking surface to release the jaw assembly.
10. The suture passing device of claim 1 , where the pivot joint comprises a bore in the proximal section of the curved needle and a slot in the first end of the needle linkage.
11. The suture passing device of claim 1 , where curved needle and needle linkage are continuous and the pivot joint comprises a living hinge between the curved needle and needle linkage.
12. The suture passing device of claim 1 , where the needle actuator is spring biased against the handle portion to cause the curved needle to remain within the curved track until a force is applied to the needle actuator.
13. The suture passing device of claim 1 , where the trigger lever is spring biased against the handle portion to cause the jaw assembly to remain open until a force is applied to the trigger lever.
14. The suture passing device of claim 1 , where the needle actuator is moveably coupled to the handle portion at an end of the handle portion opposite to the shaft.
15. The suture passing device of claim 1 , where the fixed jaw comprises a curved profile.
16. A suture passing instrument comprising:
a shaft;
a handle assembly coupled to a near end of the shaft, the handle assembly comprising a needle actuator, a handle portion, and a trigger lever, where the needle actuator is moveably coupled to the handle portion and the trigger lever is moveably coupled to the handle portion;
a jaw assembly coupled to a far end of the shaft and comprising an actuating jaw moveably coupled to a fixed jaw between an open and closed position;
a curved needle slidably positioned within a curved track of the fixed jaw; and
a needle linkage having a first end and a second end, the first end coupled to the curved needle at a pivot joint, the second end coupled to the needle actuator, where the pivot joint permits axial movement of the needle linkage to advance the curved needle in a rotational movement through the curved track and beyond the actuating jaw without deformation of the curved needle
where the track is configured to retain the curved needle while allowing unimpeded movement of the needle linkage as the needle linkage follows curved track.
17. The suture passing instrument of claim 16 , where the axial movement of the needle linkage to advance the curved needle in the rotational movement occurs without deformation of the needle linkage.
18. The suture passing instrument of claim 16 , where actuation of the trigger lever moves the actuating jaw relative to the fixed jaw to open and close the jaw assembly independently of the needle linkage.
19. The suture passing instrument of claim 16 , where the curved needle comprises a suture carrying slot at a distal portion allowing for loading of a suture external to the shaft.
20. The suture passing device of claim 19 , where the actuating jaw comprises an opening at a distal end to further expose the suture carrying slot when the jaw assembly is closed.
21. The suture passing device of claim 16 , where the fixed jaw comprises an opening at a distal end exposing the suture carrying slot for loading of the suture external to the shaft.
22. The suture passing device of claim 16 , further comprising a jaw linkage located within the shaft and having a first end and a second end, the first end of the jaw linkage engaged with the actuating jaw, the second end of the jaw linkage engaged with the trigger lever, such that movement of the trigger lever relative to the handle portion causes movement of the jaw linkage causing movement of the actuating jaw relative to the fixed jaw.
23. The suture passing device of claim 16 , where the trigger lever comprises a first actuator portion pivotally coupled to the handle portion and a second locking portion pivotally coupled to the first actuator portion, where the second locking portion comprises a trigger locking surface moveably engaged with a handle locking surface, such that when engaged, the trigger locking surface and handle locking surface locks the trigger lever in place to lock the jaw assembly in place.
24. The suture passing device of claim 23 , where the second locking portion is spring biased against the first actuator portion, and where relative movement between the first actuator portion and the second locking portion causes disengagement of the trigger locking surface from the handle locking surface to release the jaw assembly.
25. The suture passing device of claim 16 , where the pivot joint comprises a bore in the proximal section of the curved needle and a slot in the first end of the needle linkage.
26. The suture passing device of claim 16 , where curved needle and needle linkage are continuous and the pivot joint comprises a living hinge between the curved needle and needle linkage.
27. The suture passing device of claim 16 , where the needle actuator is spring biased against the handle portion to cause the curved needle to remain within the curved track until a force is applied to the needle actuator.
28. The suture passing device of claim 16 , where the trigger lever is spring biased against the handle portion to cause the jaw assembly to remain open until a force is applied to the trigger lever.
29. The suture passing device of claim 16 , where the needle actuator is moveably coupled to the handle portion at an end of the handle portion opposite to the shaft.
30. The suture passing device of claim 16 , where the fixed jaw comprises a curved profile.