Expandable needle suture apparatus and associated handle assembly
A surgical suturing device having an axis extending between a proximal end and a distal end is operable to move a suture through body tissue. An actuating rod extends between the handle assembly and the shaft. A needle assembly at the distal end of the actuating rod is movable with the actuating rod between an extended state and a retracted state. Bifurcated portions of the needle assembly define a suture slot, the bifurcated portions have a proximate relationship when the needle assembly is in the retracted state and having a separated relationship when the needle assembly is in the extended state. The needle assembly is biased to the retracted state and the bifurcated portions are biased to the separated relationship. A handle assembly is configured to releasably receive the needle assembly and is operable to move the needle assembly between a free suture state and a captured suture state.
1. A surgical suturing device, comprising:
a needle assembly having a needle movable in a needle housing between a free suture state, a captured suture state, and a locked suture state;
bifurcated portions of the needle assembly defining a suture slot, the bifurcated portions having a proximate relationship when the needle assembly is in the captured suture state and having a separated relationship when the needle assembly is in the free suture state;
the bifurcated portions of the needle assembly being unitary with one another;
a sharp distal tip of the needle assembly being unitary with at least one of the bifurcated portions;
a handle assembly including a longitudinal handle housing sized and configured to releasably receive the needle assembly;
a thumb slide assembly releasably coupled to the needle and movable longitudinally on the handle housing between a distal position and a proximal position;
a needle latch included in the thumb slide assembly and having a releasable latching relationship with the needle;
a needle housing lock carried by the handle housing and having a releasable locking relationship with the needle housing;
the needle housing lock is pivotal on the handle housing between an unlocking position and a locking position;
a locking detent slidable on the handle housing between a first position wherein the needle housing lock is pivotal on the handle housing to the unlocking position, and a second position wherein the needle housing lock is held in the locking position;
the distal position of the thumb slide assembly being associated with the needle in the free suture state; and
the proximal position of the thumb slide assembly being associated with the needle in the captured suture state and the locked suture state.
2. The surgical suturing device recited in claim 1 wherein the handle housing and the thumb slide form a ratchet at the distal position of the thumb slide assembly.
3. The surgical suturing device recited in claim 1 wherein the second position of the locking detent is distal of the first position of the locking detent.
4. The surgical suturing device recited in claim 1 , wherein:
the thumb slide has a detent position between the distal position and the proximal position;
the thumb slide in the detent position is associated with the handle in the captured suture state and an unlocked suture state; and
the thumb slide in the proximal position is associated with the needle in the captured suture state and a locked suture state.