Laparoscopic deschamp and associated suturing technique

Surgery – Instruments – Suture – ligature – elastic band or clip applier

Patent

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Details

606144, A61B 1704

Patent

active

055207030

ABSTRACT:
A laparoscopic suturing device includes an elongate shaft having a distal end and a proximal end and an arcuate tissue piercing element permanently fixed to the shaft at the distal end, the arcuate tissue piercing element lying in a plane disposed substantially transversely to the shaft. The tissue piercing element is provided at a free end, spaced from the shaft, with an eyelet, and the device has a suture thread extending through the eyelet. A distal end portion of the device is inserted through a laparoscopic trocar sleeve and the shaft of the device is turned in one direction to insert the tissue piercing element with a first end portion of the suture thread into internal tissues of the patient, a second end portion of the suture thread remaining disposed outside the patient. The first end portion of the suture thread is grasped upon insertion through the tissues and then the shaft of the suturing device is turned in the opposite direction to remove the tissue piercing element from the internal tissues. Subsequently, the suturing device and the first end portion of the suture thread are removed from the body cavity of the patient through the trocar sleeve. The end portion of the suture thread are tied to one another to form a knot outside the patient, the knot being slid back through the trocar sleeve into the body cavity of the patient.

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