Surgical wound closure apparatus
A surgical closure apparatus for facilitating closure of a wound includes an outer member dimensioned for positioning within a wound opening and defining a central longitudinal axis, and having a first longitudinal passage and a second longitudinal passage, a needle assembly at least partially disposed within the first longitudinal passage of the outer member, and a suture configured for at least partially closing the wound opening and extending at least partially through the second longitudinal passage of the outer member. The needle assembly includes a needle drive and a suture needle mounted to the needle drive and coupled to the suture. The suture needle is adapted for rotational movement relative to the central longitudinal axis between an unarmed condition and an armed condition through manipulation of the needle drive. The suture needle is positioned for passage through tissue adjacent the wound opening when in the armed condition.
1. A surgical closure apparatus for facilitating closure of a wound, comprising:
an outer member dimensioned for positioning within a wound opening and defining a central longitudinal axis, the outer member having a first longitudinal passage and a second longitudinal passage;
a needle assembly including a needle drive at least partially disposed within the first longitudinal passage of the outer member and a suture needle fixedly mounted to the needle drive, the needle drive defining a longitudinal axis, the suture needle adapted for rotational movement about the longitudinal axis of the needle drive relative to the central longitudinal axis between an unarmed condition and an armed condition through manipulation of the needle drive, the suture needle positioned for passage through the tissue adjacent the wound opening when in the armed condition; and
a suture configured for at least partially closing the wound opening within the tissue, the suture coupled to the suture needle and at least partially extending through the second longitudinal passage of the outer member.
2. The surgical closure apparatus according to claim 1 wherein the suture needle is curved and defines a needlepoint.
3. The surgical closure apparatus according to claim 2 wherein at least the needlepoint of the suture needle is disposed radial outwardly relative to the outer member when in the armed condition of the suture needle.
4. The surgical closure apparatus according to claim 3 wherein at least the needlepoint of the suture needle is disposed radial inwardly relative to the outer member when in the unarmed condition of the suture needle.
5. The surgical closure apparatus according to claim 4 wherein the needle drive is rotatable within the first longitudinal passage of the outer member to cause corresponding rotational movement of the suture needle between the unarmed condition and the armed condition.
6. The surgical closure apparatus according to claim 5 wherein the needle assembly includes a manual actuator coupled to the needle drive, the manual actuator movable to cause corresponding rotational movement of the needle drive and the suture needle between the unarmed condition and the armed condition.
7. The surgical closure apparatus according to claim 6 wherein the outer member includes a housing and an elongate member extending from the housing, the manual actuator mounted to the housing for rotational movement between a first position corresponding to the unarmed condition of the suture needle and a second position corresponding to the armed condition of the suture needle.
8. The surgical closure apparatus according to claim 7 wherein the housing includes a first stop for engaging the manual actuator at the first position and a second stop for engaging the actuator at the second position.
9. The surgical closure apparatus according to claim 1 wherein the outer member includes a tapered end segment configured to facilitate passage through the wound opening.